Arachnoid Diverticulum in Dogs & Cats: Seizures, Gait Problems & Imaging [2025]
Spinal cysts compress nerves and may require surgery
When to See a Vet
Seek immediate veterinary care (emergency)
- •Frequent seizures that cannot be stopped or recovered from
- •No obvious response or only a very weak response to calling or touching
- •Rapid breathing or difficulty breathing that cannot be resolved
Schedule a clinic visit soon (within 24–72 hours)
- •Persistent unilateral or bilateral gait instability
- •Recurrent trembling or shivering-like tremors that are increasing in frequency
- •Noticeably decreased appetite or reduced activity level
01What symptoms indicate something is wrong?
Arachnoid diverticula often cause central nervous system signs including recurrent seizures and gait abnormalities; symptoms may fluctuate, so close monitoring and keeping a seizure diary are important.
- Recurrent seizures or epileptic episodes — record the frequency and duration of each episode
- Unsteady or ataxic gait, stumbling, or veering to one side
- Repeated trembling or shivering unrelated to activity or emotion — pay extra attention if persistent
- Signs of pain such as vocalising, avoiding touch, or reluctance to be lifted
- Reduced appetite or a notable change in energy levels and willingness to interact
- If any of these signs are present, arrange a neurology consultation as soon as possible
Seek emergency care immediately if you notice the following symptoms:
- ⚠️ Frequent seizures that do not stop — this may be life-threatening
- ⚠️ Significant change in consciousness or markedly reduced responsiveness — seek emergency care immediately
- ⚠️ Difficulty breathing or severe respiratory distress — treat as an emergency
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02How to assess changes at home — what to monitor and when to go to emergency
Detailed home records help your vet assess the condition and identify triggers — use video and a written diary where possible.
- Log the number, timing, and duration of each trembling or seizure episode
- Note changes in alertness and willingness to interact with you
- Track daily trends in appetite, food intake, and water consumption
- Record urination and defecation frequency, any change in consistency, or episodes of incontinence
- Film gait, seizures, or unusual behaviour with your phone to share with your vet
- Weigh your pet regularly and log any changes to help track disease progression and medication response
03How will the vet diagnose this condition? Common diagnostic tests
At the clinic, the vet will start with a full physical examination and neurological assessment, supplemented by blood work, imaging, and specialist referral as needed to clarify the diagnosis and treatment plan.
Full physical and neurological examination to assess reflexes and gait changes
Baseline blood and urine tests to rule out metabolic or infectious causes
Urine culture if needed to exclude urinary tract involvement
Radiographs to gather supplementary information and rule out head, neck, or thoracic conditions
Advanced imaging (CT or MRI) is the primary method for confirming diverticulum location and extent
Cerebrospinal fluid analysis or referral to a veterinary neurologist when further evaluation is needed
04What treatment and care come after diagnosis? Medications, lifestyle adjustments, and home care
Treatment may involve medication management and surgical assessment; both post-operative and conservative care require long-term imaging follow-up, functional monitoring, and lifestyle adjustments.
- Medications to control seizures and symptoms, with regular check-ups to monitor response
- For cases where surgery is indicated, a veterinary neurosurgery team evaluation and discussion is required
- Post-operative follow-up includes imaging and neurological function assessments
- Maintain a low-stimulation environment and adjust diet and daily activity to minimise triggers
- During home care, record any symptom changes and report regularly to your vet
05What to prepare before the appointment — helping your vet assess the cause quickly
This content is for reference only and cannot replace a professional veterinary diagnosis. If your pet shows signs of illness, please seek veterinary care promptly.
