id	author	title	date	pages	extension	mime	words	sentences	flesch	summary	cache	txt
cord-022243-lahg6xlm	Parent, Joane M	The cat with a head tilt, vestibular ataxia or nystagmus	2009-05-15		.txt	text/plain	7031	510	53	• By close proximity, the neurological structures associated with the middle ear may be affected leading to facial nerve paresis/paralysis, dry eye from decreased to absent lacrimation, and/or Acute to peracute non-progressive onset of a head tilt with ipsilateral falling or rolling in an otherwise healthy cat. Diagnosis is based on careful history taking (to disclose if there is somnolence or quietness of the animal), physical, neurological, otoscopic and ophthalmoscopic (including Schirmer tear test) examinations, serum protein concentration, cerebrospinal fluid analysis (CSF), CSF anti-coronavirus IgG titer, electrodiagnostic testing (brain auditoryevoked responses), bullae radiography, computed tomography (CT) and magnetic resonance imaging (MRI) scan. The history of an older cat presented with a rapid onset of neurological signs relating to the inner (vestibular signs and deafness) and middle ear (facial paralysis, decreased lacrimation and Horner's syndrome) with pain upon jaw opening and a swollen face increases the index of suspicion.	./cache/cord-022243-lahg6xlm.txt	./txt/cord-022243-lahg6xlm.txt