咨询描述:母兔子 近6个月大。昨天一切都好好的,今天上午突然看见它不断摇头,眼球颤动,脑袋略歪,走路有点不稳,不吃东西不喝水,屁股有点点耙耙。主要是眼球颤动和不断摇头,其他症状目前都不严重。得传视频,照片看不出来什么。
它耳道看着不脏。相处的日子里时不时会打小喷嚏,可能是粮食有渣,没引起注意。今天忽然极速降温又下雨,不知道是不是就把她的病情刺激出来了。没有打过疫苗没有驱过虫,它平时和另外一只兔子一起散养在一个房间里。
体重可能2公斤吧,不胖不瘦,体格棒棒,吃嘛嘛香,之前一直都很健康。
我认为得看视频才能看出症状,照片没用,如果需要视频请加我微信
回复总结:兔子走路不稳脑袋歪,考虑是前庭综合征,是临床较为常见的一类神经综合征。它可分为中枢性和外周性。中枢性前庭综合征是第四脑室、脑干和小脑下延髓两侧的前庭神经核损伤引起的。外周性前庭综合征是第八对脑神经前庭部和岩颞骨内膜迷路上的受体受损伤所致。确诊需要需要核磁共振检查。如果无法检查可以先口服消炎药配合口服修复神经药物另外可以配合泼尼松龙。
问题大致一样,细节不同?
孙厚福
执业兽医师
您好,我已收到您的咨询,为了更好诊治,我需要近一步了解宝贝情况。
1.可以上传视频我看一下
2.是否用过药物治疗过?
3.是否接触过毒物?
4.目前状态是否有好转?
除此之外,宝贝目前的症状来讲,您提供给我的信息有限,暂时我还无法给您一些保守的治疗建议,所以另外我需要和主人您再了解一些宝贝的情况。希望主人您仔细提供给我。方便我更好的分析宝贝的病情,并给出更准确的诊断和保守的治疗建议。感谢您的配合。
您好,它没有接触过毒物。没有进行任何药物治疗。昨天晚上和往常一样还在高高兴兴的啃苹果树枝,啃到凌晨12点,今天上午我就发现它出问题了,目前依然没有好转。
依然是 眼部一直颤动,时不时摇头,不吃不喝这三点最为严重。其他的歪头 走路不稳 屁股有耙耙等情况不明显,不是和她日夜相处的人发现不了。
孙厚福
执业兽医师
视频可以上传看一下,时间不要太长了可以剪辑一下,医生不允许加微信还请谅解
呜呜呜 这应该还是是没有成功吧 最后一次尝试在这个程序里传视频
为保护用户隐私不显示图片/视频
孙厚福
执业兽医师
考虑前庭综合征临床较为常见的一类神经综合征。它可分为中枢性和外周性。中枢性前庭综合征是第四脑室、脑干和小脑下延髓两侧的前庭神经核损伤引起的。外周性前庭综合征是第八对脑神经前庭部和岩颞骨内膜迷路上的受体受损伤所致。确诊需要需要核磁共振检查
如果无法检查可以先口服消炎药配合口服修复神经药物另外可以配合泼尼松龙
它完全没有磕着碰着。今天发病之前一切都特别正常,一点也看不出问题。我每天都会有很长时间陪它们,昨天正常得不得了,它昨天还能互动,抢东西吃,今天我醒来感觉气温骤降又阴雨连绵,我赶紧去看它们着凉没有,就发现它出这种问题了,它还因为起床时站不稳摔了一跤。本来外表看起来不严重,但是它毕竟是眼球颤动,我当时在猜脑炎微孢子虫?神经遭压迫了?耳朵炎症?
我现在能申请开药吗,希望能详细的告诉我买什么药来尝试。
如果要做核磁共振的话,我只能明天带她去
医生 这种事它有没有回蹦星的风险啊。
从早上到现在除了眼球颤动得吓人外,其他的看起来问题都不大。
医生,如果方便的话,希望能详细推荐可以开哪些消炎药 修护神经的药。麻烦再推荐一些驱虫药。这边的宠物门诊上次治我朋友的狗腿骨折要花7000,我想在您这咨询清楚了再去买药
孙厚福
执业兽医师
考虑前庭综合症不排除脑孢虫可能性,可以口服消炎药拜有利配合泼尼松龙另外可以口服维生素B口服液,如果还是不好转才建议口服驱虫药。
我给它开个处方。处方里面的
1. 拜有利每公斤体重5mg一天一次
2.维生素B口服液每公斤体重0.5ml早晚各一次
3.泼尼松龙每公斤体重1mg一天两次
您可以根据需求自行选择购买。
医生您好,昨天我只是把供暖设备给她开着了而已,您推荐的药物待会才给我送过来,刚刚我看兔子已经彻底恢复了。
1.这是意味着她已经完全好了吗,还需要继续观察吗。
2.怎么会莫名其妙持续一天眼睛颤动摇头 又莫名其妙好了呀? 难道是因为昨天气温骤降 它太冷了的原因吗?毕竟除了气温不同其他的因素和往常一样啊
孙厚福
执业兽医师
1.维生素B口服液可以继续口服一天一次就可以修复神经
2.另外两个药物暂时先不吃
3.如果再次发生需要配合口服,天气变冷有关系的但是应该不是主要原因的
医生建议及处方根据当前病情给出,仅适用于本次问诊
蘑菇宠医处方笺
用法用量需根据患宠的年龄、体重等信息开具,此处方暂不展示
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