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Female boxer, 9 years has in the last two weeks gotten lethargic to the point of collasping asleep, staggers, paces, hind leg weakness more on right which she favors, some twitching, worse in morning that evening after she has slept. Is on pain meds (Tramadol) and anti imflammatory (Deramax)drugs. Has has an arrhythmia for several years but is treated with drugs for it. Also in last four months had a low grade tumor remove with many tests that showed no problems. Appetite is good and has no difficulty with going to bathroom. Vet thought is was an injury at first but is not sure what is going on now. Blood work is good, thyroid is normal, xrays did not show heart enlargement but did show some arthritis in the spine. EKG was normal with two different Vets not thinking that the heart is the problem. We don't have unlimited funds to continue running tests but would like to know any thoughts on the cause and what else should we be looking for or having tested. Thank you!

Submitted: 324 days and 1 hours ago.
Category: Dog
Value: $15
Status: AWAITING CUSTOMER ACTION
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Optional Information

Age: 9; Female; Breed: Boxer

Already Tried:
Two trips to Vet. Checked thyroid, xrays of spine and heart area. Blood work OK. Temperature normal. No heartworm, leptospirosis.

Posted by RebeccaVet 324 days and 1 hours ago.

Answer

Hi Ragolfer,
It would help to know what kind of tumor was removed, and from what part of her body. Also, it would help to know what drugs she is taking for the arrhythmia, and if she had a normal EKG, was an ultrasound of the heart down then as well. Is she like this all the time, or does she episodes of collapsing?

If she is collapsing and staggering, I would suspect one of three things: episodes of low blood sugar; episodes of low blood flow to the brain; or an problem arising inside the brain, like a form of seizures. At 9, and being a Boxer, a brain tumor has to be considered as a possibility, but you need to do tests like CT or MRI scans to verify that.

I would try to get a blood sample to test blood sugar levels, while she is having one of these episodes (or as close to it as possible), and (even less practical probably) an EKG while she is having an episode. You could have your vet teach you how to feel a pulse. and practice doing this while she is normal, and then check it during an episode, to see if it is weak, or irregular. It would also help for you to practice checking the color of her gums when she is normal, and then checking them for paleness during an episode.

If this is not episodic, but she is like this all the time, then I think a consult with a veterinary neurologist, just an exam and consult to begin with, is what I would do next. Hope this helps, Rebecca

324 days ago.

Reply

Hi Rebecca,

 

Happy New Year and thanks so much for taking an interest with my Boxer named Twister. To answer your questions she had a grade 2 mass cell tumor removed from the front neck area under her head. The full 3 cm of good cells were available with the removal of the tumor. We had to go to a specialty clinic because of the close proximity to arteries. The surgeon was very happy with the results from the actual surgury and the full work up of tests. We were given the choice to watch or perform some chemotherapy. We are watching. This surgury was done in August of 2008.

 

She takes Sotalol for here heart. She was having problems when we took her in two days ago. The EKG was fine (described as perfect) along with the xray showing no enlargement of the heart. The EKG was done during a time when she was having difficulties. This is the third xray in the last year with nothing remarkable to report on the heart size. Also her lungs are clear and have never had any fluid. She has not had any panting with these episodes. An ultrasound has not been performed.

 

She has the weakness in her back right leg all the time but the episodes of being tired and staggering are more pronounced when she first gets up in the morning. She staggers only to her right. As the day goes on she perks up and seems better although not the same as when this started several weeks ago. When I say she perks up she walks quicker, does not stagger, can bend down to drink water with out any apparent weakness, and wags her tail like all boxers do. This seems to be related to time of day.

 

To make sure you understood what I meant by collasping, this is usually after a long time of her pacing or physical exertion. Collaspe is her getting on the couch or bed and with no energy and immediately falling asleep. Best description is episodes but only after pacing or in the morning when she first gets up.

 

She has a very good appetite and has no weight loss. This whole situation can best be describing as a rapid onset

 

One last thing, once several days ago when getting off the couch she yelped quite a bit. She has never done this, ever.

 

Thanks again for your help,

 

Rick

 

 

Accepted Answer

Hi Ragolfer,
The yelping, and staggering only to the right could be a pinched nerve or slipped disc in her neck. Dogs are usually pretty stoical about pain, and when owners describe actual yelping or crying, I always look for a problem in the neck or back.   By any chance was the surgery for the mast cell tumor on the right side of her neck? You might want to have a follow up exam with her surgeon, or a neurologist if there is one in your area.   I would also consider an X ray of Twister's neck area. I would keep looking for answers; your description of her symptoms is concerning. Hope this helps, Rebecca

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Expert: RebeccaVet
Pos. Feedback: 100.0 %
Accepts: 
Answered: 1/1/2009

Dog Veterinarian

23 years of companion animal practice, with interests in internal medicine and behavior

323 days and 2 hours ago.

Reply

Hi Rebecca,

 

I accepted your answer but instead of going over this again with someone else I thought it would be better to ask you.

 

One symptom I don't think I mentioned is muscle twitching and head twitching. It was not happening much when I wrote last but last night Twister had a turn for the worse with shaking or twitching. Since this is happening all over her body I would assume that this could be coming from the brain. This morning she could hardly walked, did her business in the house, and is basically not very responsive. I put her on the couch and she just falls asleep. She has been doing this lately almost immediately falling asleep.

 

The Vet has said that a MRI is next but she has gone from a running normal dog to this in a week. She has mentioned to try steroids in the absence of a MRI since there are several conditions that this may help. The problem has definitley moved to the right side because this morning I have seen some weakness on her front right paw.

 

I am beside myself probably facing having to put her out of her suffering. I just keep thinking that a dog that gets symptoms this quickly in a week can't all be tied to a brain tumor which is where the Vet is now leaning.

 

Any words or thoughts would be appreciated.

 

Thank you,

 

Rick (Ragolfer1)

Posted by RebeccaVet 322 days and 15 hours ago.

Answer

Hi Rick,
The twitching sounds like neurologic disease, likely coming from the brain. In a perfect world, an MRI and spinal tap would be the steps to take to get a diagnosis. It could be a brain tumor, or some other brain disease, like meningitis. I agree with trying steroids; if it doesn't help you will know fairly soon.

I am sorry to hear of your distress. Even with the relatively sudden onset, a brain tumor is still a possibility. Give the steroids a try, and if she is no better after the weekend, then you will either have to go for more expensive, and invasive tests, or let her go if she is just looking worse and worse. I am so sorry; Twister obviously means a lot to you. Rebecca

322 days and 1 hours ago.

Reply

Rebecca,

 

Thanks for your help and understanding. Twister took a turn for the worse earl this morning. We rushed her to an animal hospital that was close and they consulted with a neurologist. As you said the spinal tap and MRI were suggested but they were 99% sure based on a host of new symptoms that she was suffering from a brain tumor. She was going blind, did not respond verbally, could not keep her head from going to the left, and could not walk. We were not going to let her suffer and had her put to sleep.

 

Thanks again for being very insightful about this from such a long distance.

 

Rick (Ragolfer1)

Posted by RebeccaVet 322 days and 1 hours ago.

Answer

I am so sorry for the bad news. I think you did the right thing, and that she had a brain tumor. My sincere condolences, Rebecca

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