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seriousPet • Medical Pet first aid

Pet stroke / vestibular episode

Sudden head tilt, circling, or collapse in a pet is frightening and looks like a stroke. Many cases are vestibular disease, which is treatable. Get to the vet.
Serious — call ASPCA Poison Control or your vet

What to do now

  1. 1.Lay on a flat, padded surface
  2. 2.Pad the sides so they don't roll
  3. 3.No food, water, or human medication
  4. 4.Dim lights, keep noise low
  5. 5.Call the emergency vet now
  6. 6.Transport flat — keep head level
Steps

5 steps

  1. 1

    Recognize the signs

    Sudden head tilt, loss of balance, circling in one direction, rapid eye movements (nystagmus), vomiting, weakness on one side, or collapse.

  2. 2

    Keep them safe and still

    Lay them on a flat, padded surface. Pad the sides with towels so they don't roll or fall. Dim the lights — bright light worsens vertigo.

  3. 3

    Do not offer food or water

    Swallowing may be impaired and they may inhale liquid. Skip treats, water, and any oral medication.

    Important: Do not give human stroke medications (aspirin, etc.). They are dangerous for pets and can be fatal for cats.
  4. 4

    Call the emergency vet immediately

    Describe symptoms and time of onset. Many vestibular cases respond well to anti-nausea and supportive care, but a true stroke needs imaging and urgent treatment.

  5. 5

    Transport carefully

    Use a flat carrier, board, or blanket sling. Minimize tilting and motion. Keep the head level with the body.

Kit

What you'll need

  • Flat carrier or board
  • Towels for padding
  • Phone with 24-hour vet
Related

Pet • Medical

Guidance only — in any emergency, call 911.