Liz Buchanan BVSc MRCVS
Keymaster
Hello. Having read your written description only, I wonder whether your dog could be having seizures, or tremours associated with her parasympathetic system. It used to be thought that if a dog didn't fall over then they couldn't be having a fit, but it turns out that brain activity is more complex than that and so-called 'mini-seizures' are quite common and can have a range of causes. Epilepsy is genetic and commonly starts between 1 and 3 years; as neuro patients get older, we wonder more about changes in the body affecting the brain. For example, hypoglycaemia is a reduction in blood sugar to the brain when the body can't properly regulate insulin. Liver changes can affect the nerves and cancer - malignant or benign - is not unusual.
Your vet can't see what's going on in there from the outside, but they can give your dog a neurogical exam whereby they quantify any changes. They will also take a thorough history and list the most likely causes. Together you can decide whether further blood tests and / or trial treatment or even MRI scans, would be helpful or desirable. A lot of people decline MRI scans because of the cost, but there are other approaches. Wishing you the best of luck.
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