{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T00:15:40Z","timestamp":1792109740768,"version":"4.4.0"},"reference-count":21,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T00:00:00Z","timestamp":1695686400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Small Animal Practice"],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>To characterise head tilt as a rare clinical sign of cervical spinal or paraspinal disease in dogs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Materials and Methods<\/jats:title><jats:p>Retrospective single\u2010centre case\u2010series study of dogs with head tilt and cervical spinal or paraspinal disease in the absence of intracranial abnormalities. Descriptive statistics were used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Fifteen dogs met the inclusion criteria of this study. Median age at onset was 6\u2009years (range 2.5 to 12\u2009years). Onset of neurological signs was mainly chronic (9\/15, 60%). Most common presenting complaints included head tilt (9\/15, 60%) and cervical hyperaesthesia (8\/15, 53%). Most common neurological findings included head tilt (15\/15, 100%), generalised proprioceptive ataxia and tetraparesis (6\/15, 40%) and cervical hyperaesthesia (8\/15, 53%). Diagnoses included post\u2010operative complication of C2 spinal nerve root mass removal (2\/15, 13%), C3\u2010C4 intervertebral disc extrusion (2\/15, 13%), cervical paraspinal myositis (2\/15, 13%) and one of each: C2 vertebral malformation, C2 spinal nerve root mass, C1\u2010C2 meningioma, C2 vertebral fracture, C4\u2010C5 intervertebral disc extrusion, C4 vertebral body mass, C5\u2010C7 osseous\u2010associated cervical spondylomyelopathy, and concurrent C5\u2010C6 and C6\u2010C7 intervertebral disc protrusions. Two dogs were euthanased shortly after diagnosis and two of 15 were dogs lost to follow\u2010up. No <jats:italic>post\u2010mortem<\/jats:italic> examination was performed for these cases. For the 11 of 15 remaining dogs, head tilt resolved in eight of 15 (53%) dogs after treatment of the underlying condition and in three of 15 (20%) dogs, it remained static.<\/jats:p><\/jats:sec><jats:sec><jats:title>Clinical Significance<\/jats:title><jats:p>Head tilt can be a rare clinical sign of cervical spinal or paraspinal disease in dogs.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jsap.13674","type":"journal-article","created":{"date-parts":[[2023,9,27]],"date-time":"2023-09-27T05:28:24Z","timestamp":1695792504000},"page":"56-65","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Head tilt as a clinical sign of cervical spinal or paraspinal disease in dogs: 15 cases (2000\u20102021)"],"prefix":"10.1111","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2815-2527","authenticated-orcid":false,"given":"T.","family":"Liatis","sequence":"first","affiliation":[{"name":"Queen Mother Hospital for Animals, Royal Veterinary College University of London  Hatfield AL9 7TA UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2505-2152","authenticated-orcid":false,"given":"S.","family":"De Decker","sequence":"additional","affiliation":[{"name":"Queen Mother Hospital for Animals, Royal Veterinary College University of London  Hatfield AL9 7TA UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2023,9,26]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-662-43559-5_94"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/jsap.13070"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.tvjl.2010.03.024"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-69611-1.00022-0"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-0-323-69611-1.00012-8"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13620-019-0141-9"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.1517\/14656566.8.2.129"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/vr.d4650"},{"key":"e_1_2_6_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/vetr.61"},{"key":"e_1_2_6_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/B978-1-4377-0651-2.10008-6"},{"key":"e_1_2_6_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cvsm.2015.10.008"},{"key":"e_1_2_6_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12772"},{"key":"e_1_2_6_14_1","first-page":"195","volume-title":"BSAVA Manual of Canine and Feline Neurology","author":"Mu\u00f1ana K.","year":"2014"},{"key":"e_1_2_6_15_1","unstructured":"Nagendran A. 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