Head Shaking in Cats
Key takeaways
Head shaking in cats refers to turning the head rapidly from side to side, often in response to irritation or pain in the ears.
- Occasional head shaking in cats is normal, but if it is excessive or accompanied by other symptoms it may indicate an underlying medical condition
- Head shaking can be caused by a wide variety of underlying conditions, including ear infections, allergies, mange, and neurological disorders
- The symptom rarely indicates an emergency, but if accompanied by other symptoms veterinary attention is required
- Diagnostics include a physical examination, ear exam, and neurologic exam
- Advanced diagnostic imaging may be required if a neurologic disorder is suspected
- Treatment depends on the underlying condition, and may include medication, removal of irritants, or surgery
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A closer look: Head Shaking in Cats
Head shaking is very common in cats. Alone, it is usually a sign of itchiness or discomfort in the ears, and is unlikely to be an emergency. Excessive head shaking warrants prompt veterinary examination to rule out underlying health concerns.
If presenting alongside other symptoms such as seizures, vomiting, or difficulty breathing, emergency intervention is indicated.
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Possible causes
Risk factors
As a symptom, head shaking primarily varies in how often it occurs. Frequency of head shaking is not always indicative of severity.
If itchiness is the underlying cause of head shaking, cats may also paw at their ears, or rub themselves on furniture in an effort to scratch themselves.
If caused by a neurological condition, the head shaking may be accompanied by seizures and abnormal mentation.
Testing and diagnosis
Diagnostics include:
- A physical examination
- Otoscopic examination
- Diagnostic imaging, such as X-rays, CT or MRI
- Bloodwork
- Ear and skin cytology
- Neurologic exam
Treatment depends on underlying causes, and may include:
- Removal of irritants from the ear
- Cleaning the ears
- Medication, such as antibiotics or antivirals
- Topical ointments
- Surgery
Similar symptoms
Head shaking is often a sign of normal cat behavior, as a response to mild irritation or itchiness of the ears.
