Idiopathic Vestibular Disease is a medium-severity neurological condition that can affect dogs of all ages and breeds. Idiopathic vestibular disease is a sudden, non-progressive inner ear disorder most common in older dogs. It mimics a stroke in appearance but is typically self-limiting. The cause is unknown and spontaneous recovery usually occurs within 2-4 weeks. It is documented across 1 breed, though prevalence and severity can differ significantly between them. It typically becomes apparent at 10+ years. Early signs to watch for include sudden head tilt, loss of balance, rolling and falling, and nystagmus (flickering eye movement). When treatment is required, costs are estimated at £200-£800 depending on severity, location, and the specific intervention needed. This page covers symptoms, treatment options, and preventive steps — along with breed-specific information where available.

Signs & Symptoms

The following symptoms are commonly associated with Idiopathic Vestibular Disease in dogs. If your dog displays several of these signs, consult your vet promptly — early diagnosis typically leads to better outcomes.

• Sudden head tilt
• Loss of balance
• Rolling and falling
• Nystagmus (flickering eye movement)
• Nausea and vomiting
• Reluctance to stand

Treatment Overview

Supportive care with anti-nausea medication and assistance walking. Most dogs recover substantially within 72 hours and fully within 2-4 weeks. Some residual head tilt may persist.

Typical onset: 10+ years

Prevention & Screening

While not all cases of Idiopathic Vestibular Disease can be prevented, the following steps reduce risk or enable earlier intervention:

• No prevention
• Prompt veterinary assessment to exclude stroke, tumour, or middle ear disease