Head tilt and its various causes: differential diagnosis

 

 

Photo: Kostas Milonas

 

A female rabbit, suffering from head-tilt, before and after treatment with fenbendazole and enrofloxacin.

 

  

Bacterial causes

Pasteurellosis, leading to otitis media and interna (middle and inner ear infection).

Listeriosis, leading to otitis interna or media (middle and inner ear infection).

 

 

Fungal causes

Fungemia, e.g. Aspergillosis or Candida albicans meningitis.

 

 

Parasitic infestation

Cerebral parasitic worms, e.g. Nematodiasis or Baylisascaris procyonis. Accompanying signs are ataxia (loss of control of movement), circling and tremors.

E. cuniculi, although it is not known if this CNS parasite is directly responsible for head-tilt or is a side effect of some other health issue.

 

 

Toxicity

Insecticide

Fertilizer

Lead

 

 

Deficiencies

Vitamins

Selenium

 

 

Central nervous system (CNS)

Bacterial infection, leading to otitis media or interna (middle and inner ear), see “Bacterial causes”.

Cerebrovascular accident, with rabbit moving in circles if at all. Eating and drinking habits are usually normal. It is the second cause of head-tilt after otitis interna in rabbits.

Trauma of the face of head, with brain damage.

Vestibular dysfunction

Cerebellar disease

Neoplasia (development of a tumor) or abscess in the neck, ear or brain.

 

 

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