I have a huge problem with my cat and to be honest I do not know what to do next
Male, 4 years, breed: Scottish straight, not outgoing (no contact with other animals, no children at home). No chronic illnesses were found, but he had been struggling with a cat's flu (I don't know the right name in English) from his birth.
1. In January 2018 my cat began to behave strangely - he stopped closing his left eyelid and stopped moving his left ear. That same day I took him to the vet - the neurological problem was confirmed. It turned out that he had an inflammation of the inner ear which led to paralysis of the trigeminal nerve (responsible, among others, for the eyelid and ear).
He got anti-inflammatory Loxicom
and as an antibiotic Synergal
. Because he did not tolerate it well- after some time he started to vomit it, he got Convenia
2. At the end of January, he had a magnetic resonance imaging. A change was found below the eye socket, behind the throat. Description: In the area of the left eardrum visible changes in the form of a small amount of secretion with a strongly hyperintensive signal in the T2-dependent sequences in its medial-pellicular compartment, as well as strong thickening of the can divider. In addition, a visible strong signal increase in both the T1 and T2-dependent sequences in the muscle range located on the medial left side of the mandible from the temporomandibular joint, around the circumaural region to the left eye socket. After a contrast was given, a moderate signal gain was demonstrated in the area of the left tympanic diaphragm. Recommendation: continuation of Convenia
was continued in February.
4. At the beginning of March, it seemed that the cat was recovering - it became more animated, the ear began to move a bit. Unfortunately, before the end of the next dose of Convenia
, there was a worsening - no ear movement, no closing of the left eyelid. This was accompanied by a flicking of the head and visual disorder (quite quickly subsided).
He got anti-inflammatory Loxicom
, and as an antibiotic Aniclindan
, which apparently penetrates the whole body and is quite strong.
5. At that time, a magnetic resonance imaging was performed (ie after 5 weeks from the previous one) - it showed practically no differences. Recommendation: continuation of treatment with Aniclindan
6. In mid-March, endoscopy and intrauterine myringotomy were performed. At the end of March future results: Cytology: (...) small few bacteria (granulomas), (...) cytological picture indicates the presence of an inflammatory process. Due to the presence of bacteria, the primary or secondary background of inflammation as suggested. Aerobic and anaerobic culture
7. In mid-April, treatment with Aniclindan
was completed (after 6 weeks). The cat seemed to recover slowly, but in the second half of April - literally within an hour - neurological problems appeared again. After half an hour of going to the vet, the cat already had strong visual disorder and coordination disorder.
The middle ear seemed to be infected again. The vet decided not to give another antibiotic or anti-inflammatory drug, this time to try to "grow" the bacteria so that they could appear in the external ear and this time they were able to be taken for cytology.
8. The cat returned to its previous state after one day, i.e. without the movement of the ear and the eye, but also without major neurological problems (coordination, nystagmus). Unfortunately, this time cytology showed nothing.
9. The vet suggested that the only diagnostic method that remained was a biopsy under the control of a computer tomograph, but due to the location of the lesion it is a high-risk procedure (serious damage of arteries and/or nerves).
10. Due to the upcoming holiday I decided to refrain from the decision about the procedure. After returning (one week), the cat functioned normally. After about 2-3 weeks, he started to recover by himself - he began to regain movement functions of the ear and in a minimal degree of the eye.
11. After about 5 weeks of good form and "self-treatment", today, the cat began to feel worse again - it goes with a tilted head and does not react with the ear to the sounds/touch. History is circling.
I do not see any correlation with external factors and the recurrence of fears (stress, food, etc.). Only what appeared a few days before the current relapse is a dark discharge from the nose - a feline catarrh. Perhaps there is some correlation with the line (last days I heavily aired the flat, and earlier (in winter) I used an air purifier and the cat liked to sit nearby.
A biopsy is very risky (cat's disability). At all costs I would like to avoid it, on the other hand I want to finally heal the cat, because the animal is feeling bad.
Have you had a similar situation or have an idea, what could be the cause of his illness?
I prefer to try everything rather than practically condemn him to a disability as a result of a biopsy.
PS. Sorry for my English, but I'm not a native speaker...