Update: Brain tumor :(... Stroke? Advice/hope needed.

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cornad

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Hello all. I haven't posted in a bit since the lost of my beloved Spence (who was diabetic and home testing/felinediabetes.com saved his life). He lost his fight with cancer about 6 months ago (I miss him dearly and think about him several times everyday). We also have another cat, Sammie, who is about 10 years old.

Sammie started exhibiting weird signs, like a stiff leg about a week ago. We picked him up and he let out this low completely odd meow, a sound we never heard him make before. We thought maybe his leg was broken or injured. Sam went to the vet and nothing was found to be abnormal. They did some bloodwork and everything was "fine." Sammie ate and seemed to be getting a little bit better, although his leg was a little funny.

About a day ago, I noticed Sam was exhibiting a sign I've learned about in nursing school that is can be seen with stroke patients. I gave him food and he ate everything on the right side but not the left, like a complete half. I did a mini neuro check, well the best I could (I know how to perform one on humans but not sure on cats, so I winged it) and I found that he is blind in his left eye. And he also has decreased sensation and strength on his left side. Although he can't see in his left eye, both pupils constrict and react to light equally.

Needless to say we are devastated. He is eating and drinking. We have an appointment today, in the afternoon and I'm so scared.

Does this sound like a stroke? I have no idea what could have caused this. If it is a stroke, does anyone know the basic prognoses seen in cats? Does anyone know if the vision impairment can be temporary? I really need hope right because I'm just so so sad. He's such an energetic and playful cat, it pains all of us to see him like this.

Thank you for reading.

UPDATE: Sammie was acting very strange last night. His eyes were barely opened and was barely responding to stimuli (although he head was up and he was breathing). My sister and I freaked out and bought him to an emergency clinic.

Sammie became more alert but still very confused and walking in circles. The vet believes he has a brain tumor because she thinks what I described is a progression of symptoms rather than a sudden on change seen with strokes. Deep down I want to believe its a stroke :(. She found the blindness in one eye, weakness, circling, and that he also had a fever.

Our options were to get him some mannitol to reduce swelling, prednisolone, antibiotic, more bloodwork for feline infectious diseases, overnight, neuro consult, possibly an MRI (which is $1400 additional). The other option which we took since we still have an appointment with another vet at 4PM today, was to give him some prednisolone and antibiotic (that she didn't have onsite..so I have to wait for 4PM to get some).

He's 10 years old. I didn't prepare myself for this possibly diagnosis. Any advice about possible brain tumors? I checked up on him a few mins ago, he feels warm, like he has a fever. I'm going to wake up my family and see if we can bring him now.

We can't afford a MRI and possible brain surgery if it's operable. I'm so sad. Excuse the typos, I'm not 100% here right now. :sad:
 
Re: Possible stroke. Advice/hope needed.

To me, it does sound like he may have had a stroke. I do not have any experience with that myself, but the symptoms sound like what a human patient would have. I don't have any advice but to have him checked by your vet.

We will keep all fingers, toes and paws crossed that this is only temporary and Sammie will recover.
 
Re: Possible stroke. Advice/hope needed.

If you are getting nowhere with the vet, check to see if there is a vet school nearby. I see you live in Brooklyn, so I'll bet one of the Univ's in town has one. I used to live in Philly, and had a friend to used to go to Univ of Penn vet school for help. I want to say their dog had cancer, but it's been about 12 years since Star died, so my memory is faulty.

Good luck and prayers to you!
 
Re: Possible stroke. Advice/hope needed.

I don't have any advice, but just wanted to send some healing vibes your way! I hope he gets better! :YMHUG:
 
Re: Possible stroke. Advice/hope needed.

doombuggy said:
If you are getting nowhere with the vet, check to see if there is a vet school nearby. I see you live in Brooklyn, so I'll bet one of the Univ's in town has one. I used to live in Philly, and had a friend to used to go to Univ of Penn vet school for help. I want to say their dog had cancer, but it's been about 12 years since Star died, so my memory is faulty.
Unfortunately, NYC does not have a vet school. There in one at Cornell which is really far from NYC. Philadelphia would be closer. But there must be a good animal hospital there somewhere.
 
The vet we are going to in the afternoon is different doctor vet, so hopefully he will know more. I can only keep my fingers crossed.
 
Re: Possible stroke. Advice/hope needed.

Maggies Mom Debby said:
doombuggy said:
If you are getting nowhere with the vet, check to see if there is a vet school nearby. I see you live in Brooklyn, so I'll bet one of the Univ's in town has one. I used to live in Philly, and had a friend to used to go to Univ of Penn vet school for help. I want to say their dog had cancer, but it's been about 12 years since Star died, so my memory is faulty.
Unfortunately, NYC does not have a vet school. There in one at Cornell which is really far from NYC. Philadelphia would be closer. But there must be a good animal hospital there somewhere.

I live down the street from Cornell. If you do end up having to get a consult let me know if there is anything I can do to help.

(((((Sammie)))))
 
Norton had a brain tumor. It caused him to walk in circles.

Daily Prednisolone helped his quality of life considerably. He walked straighter - held his head and tail up high --

The Pred is a anti-inflammatory, which reduces swelling.

You may also need a pain med like Gabapentin or Buprenex (not sure I've spelled them right).

Try to get Sammie comfortable and enjoy every minute that you have left.

If it is a stroke - probably short time -- if it is a tumor, you may have longer with QOL treatment for pain etc.
 
Like Phoebe's Norton, Tucker(GA) had a brain tumor that caused him to walk in circles also, for a short time he was even blind, less than a full two days though. Prednisolone was key for us.

Unrelated to his brain tumor he also had a condition that caused him to lose potassium, Hypokalemia, when his potassium crashed, he looked like a cat who had a stroke, happened about three times. Each time, once his Potassium was back up, he was back to normal. Just for that reason, I always recommend folks get electrolytes checked when a cat shows stroke like symptoms.

Please don't worry about what Prednisolone could do to BGs, whether a cat on honeymoon or an FD, shrinking the brain tumor is more important than worrying about possible insulin issues. Tucker actually took less insulin on steroids than he did before.
 
They mentioned it could be an infection but his white blood cell count the other day was normal.

How long would you say that it took for the prednisolone to take affect?
 
Tucker didn't start his prednisolone until the same time we starting huge amounts of potassium for him. So, I can't really answer except that it was a Friday when he crashed, my vet gave me the meds and we were to take him home that weekend and spend it with him. The plan was to let him go on Monday.

On Sunday morning he stopped walking around like a aimless zombie and got some personality back. By Monday morning it was clear he had rebounded. Might have been middle of the week that he was completely back to normal, but again his issue was also the low potassium, not just the brain tumor.

About 8 months later when we ran out of Prednisolone and switched to Prednisone, Tucker's tumor grew fast and he went blind within two weeks of the switch. We had to do a steroid push, he got his vision back in a little over a day. So, I guess it works fast, but Tucker always had compounded problems, not just one single issue that I could pinpoint exactly what helped and why.

I can say without a doubt, always stick with Prednisolone, not prednisone. Prednisolone is used immediately by the body, prednisone has to be broken down by the liver into prednisolone, it's harder on the body and less potent.
 
to tucker's mom!
I have been reading this post and it sounds like some things my new little heart patient, Gumpy is going thru.... we did an ultra sound just yesterday and should get all the results in by today... but, she walks around like she is lost, or everything is new to her, not exactly like she is blind but just like she is retarded for a lack of a better word.... i dont know if you have seen my previous posts about her but she had her first seizure Saturday, 4/9 and then 2 more the next Saturday... she has not been the same since... I do know that her blood pressure was around 290 when this happened....we are trying to figure out if it is her heart, kidneys or what... she has had a thyroid test that came back ok..... But after reading your post, wonder if it is in her brain??? how did you find that out?? - i have been trying to find a blood pressure machine and have had a few post about it, but not checked into it much... plan on that this week end!
bty... my sugar Bean is fine as wine as of today... no insulin since 5/14 or 15 - would have to look at her spreadsheet, as mommy is spread a little thin!
 
When Tucker was walking around aimlessly that was more due to his potassium (K) being too low. Electrolytes are not always tested, at least not at my vet. After finding nothing else wrong with him the first time he crashed, which we thought was a stroke, we did the extra bloodwork to rule out all kinds of things. His Potassium was at 2.3, shoud have been 3.5.

The brain tumor made him walk in circles, right hand circles only. When he got up he circled, to eat, he circled first, to switch rooms he circled first.
When he walked in circles it was like this:
http://s92.photobucket.com/albums/l39/jjasensky/Tucker/?action=view&current=MVI_1931.mp4

When his K crashed he walked aimlessly, as if not seeing anything, he walked over other cats, he walked through the litter box, stayed towards the walls, got stuck in corners.


ETA: I'm really sorry about Bean, I hope you can find out what's wrong, but I wouldn't do a BP monitor, too hard to do. You could count resps on your own, and maybe listen to the heart if you wanted, but BP is hard.
 
With Norton, we first got an injection of steroids - this demonstrated improvement within the first 24 hours, so we returned to the vet for a prescription for Prednisolone and started him on a daily dose based on his weight. (started Pred about 3 days after the injection)

One thing we were going to try but didn't get a chance --- BCP Vet Pharmacy in Texas makes Prednisolone in chewy treats for cats.
 
We saw the neurologist yesterday and the prognosis was grim as expected.

She is quite certain Sam has a lesion/tumor on his right side of the brain. We were given an increase of the steroid, prednisolone. We were told that if he doesn't improve in 3-5 days, we should consider putting him to sleep. And if he improves, he can be around for a few weeks - months.

This is so sudden, I'm speechless. I wish I had the money for the MRI but I don't. I feel so guilty.

I tried to give him the prednisolone this morning and he vomited soon after. I called the vet and I was told to feed him a little then try to repeat the dose in an hour or two. He was having trouble chewing yesterday and the day before, he seems to be chewing okay now. He ate a few bites of hard food. I'm not sure if that qualifies as an improvement.
 
I'm sorry, this is so hard. When Tucker took his Prednisolone it was pill form. Since he was eating much food at first, I bought canned A/D, I crushed the pred, added it to a Tablespoon of A/D, a smidge of water and microwaved it. I then used feeding syringes, the kind you get at the pet food store for feeding birds, they are large and easy to fill.

I pulled the plunger out, dumped the food in through the top, slowly put the plunger back in, banging it down a little as I filled so the food didn't get pushed out. Then I syringe fed Tucker's meds in the A/D. He liked the A/D so he didn't fight it, also didn't notice the taste of the pred that way.

What dose of Prednisolone did you start on? Tucker's dose by the end was 10MG BID, a pretty large dose, but I had him almost a full year longer than I should have, less one week. If your kitty seems to be in pain, don't be afraid to ask for Buprenex. Tucker got headaches sometimes, I could tell by the head scrunching. He took bupe for pain. Quality of Life is important, pain management during this time is part of that.

Take lots of pictures, hug your kitty lots and know that you are the best bean to your little man Sam ever and try to enjoy each day with him.
 
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