ArticleThe Veterinary record2025
Peripheral vestibular syndrome in cats: Clinical presentation, diagnostic findings and outcome in 196 cases.
Article in The Veterinary record, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Lack of association between inner ear FLAIR suppression on MRI and laterality of clinical signs in feline idiopathic vestibular syndrome.Journal of feline medicine and surgery · 2026Article
- Feline neurological disease in a veterinary referral hospital in the UK: clinical diagnosis, neuroanatomical localisation and VITAMIN D-based aetiological distribution.Journal of feline medicine and surgery · 2026Article
- Peripheral vestibular syndrome in cats: Clinical presentation, diagnostic findings and outcome in 196 cases.The Veterinary record · 2025Article
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6 authors.
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Abstract
backgroundDisorders of the vestibular system are frequent in cats. This study aimed to describe the clinical presentation, diagnostic findings, underlying aetiologies and outcome of cats with peripheral vestibular syndrome (PVS).
methodsThis was a retrospective study of cats presented with PVS at four referral hospitals. All of the cats underwent magnetic resonance imaging or computed tomography of the head. Multivariable logistic regression analysis was performed to identify clinical variables associated with the most common diagnoses.
resultsA total of 196 cats were included. The most common diagnosis was otitis media/interna (OMI) alone (n = 91) or with aural polyps (n = 49), followed by idiopathic vestibular syndrome (IVS) (n = 47), middle ear neoplasia (n = 7) and congenital vestibular syndrome (n = 2). A diagnosis of OMI was associated with younger age (odds ratio [OR] = 0.993, 95% confidence interval [CI]: 0.986‒1.000, p = 0.044), longer duration of clinical signs (OR = 1.034, 95% CI: 1.008‒1.061, p = 0.009), history of otitis externa/upper respiratory signs (OR = 5.245, 95% CI: 1.849‒14.882, p = 0.002), facial nerve paralysis (OR = 6.531, 95% CI: 1.287‒31.335, p = 0.023) and Horner syndrome (OR = 15.804, 95% CI: 2.014‒124.02, p = 0.009). Follow-up data for 104 cats revealed full recovery in 33 cats, partial recovery in 67 cats and no recovery in four cats. LIMITATIONS: The limitations of this study include its retrospective nature, multicentre approach and incomplete outcome data.
conclusionOMI is the most common cause of PVS in cats and is associated with younger age, longer duration of clinical signs, history of otitis externa/upper respiratory signs, facial nerve paralysis and Horner syndrome. The majority of cats diagnosed with OMI and IVS experience at least partial recovery from the vestibular signs.
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