A cat's attempt to get outside through a tilted window can result in serious injury. In most cases, cats manage to squeeze their head and upper body through the window but then get stuck with their hindquarters in the slanted gap. Attempts to free them only make the situation worse, causing the cat to slide further down into the gap and become trapped. The consequences can include serious external and internal injuries, collectively known as tilt window syndrome, which can often lead to the death of the cat.
Tilted windows pose a serious danger to cats, especially when they are not being watched. Cats left alone in the home often try to escape through a tilted window.
The entrapment and often violent attempts to free themselves can cause injuries to bones, nerves, and internal organs. The abdominal aorta (the main artery) located below the spine is often squeezed so severely that it causes circulatory problems in the parts of the body behind it. The consequences of reduced blood flow are primarily paralysis of the hind limbs. The hind legs feel cold due to the interrupted blood supply and the cats react slowly or not at all to touch.
If you find a cat trapped in a tilted window, carefully free it by lifting it out of the gap and take it to a vet or, better still, an animal hospital. The animals are usually in shock and in severe pain. The mucous membranes are pale, the heart rate is elevated, and the body temperature is lowered. Immediate veterinary care is important to prevent potential permanent damage. Massive attempts to free the animal can lead to broken bones in the lumbar spine, internal bleeding, and organ damage. For example, damage to the bladder can cause bloody urine. In some cases, cats manage to free themselves. However, watch out for suspicious symptoms, as they may still be injured.
Depending on how long the cat was trapped, life-threatening shock can occur several hours or even days after the injury. The reduced blood flow causes toxins to accumulate in the tissue and blood clots can form. If the vessels suddenly become unblocked, these toxins and blood clots can enter the entire circulatory system via the blood. The resulting damage is known as "reperfusion syndrome."
The diagnosis is usually relatively simple for the veterinarian, as the owner often finds their pet stuck in the window and can describe the accident to the veterinarian in detail. In practice, the veterinarian will examine the cat and make a diagnosis based on the injuries. If the hind legs are paralyzed, special neurological tests are performed to check which reflexes are still present and which are not. This helps to narrow down the location of the injury.
An X-ray examination should always be performed on cats that have been trapped in a tilting window to identify or rule out any internal injuries or broken bones. Ultrasound examinations also provide further important information about possible organ damage and internal injuries.
First, the cat's state of shock must be treated. This involves administering infusions and medication to stabilize the circulation and maintain kidney function. Anti-inflammatory and pain-relieving medication is also used. Regular physiotherapy can be extremely beneficial later on to support the healing process by regenerating soft tissue and building muscle.
The prognosis depends greatly on the severity of the injuries, the time of diagnosis, and the response to treatment. With immediate veterinary care, good aftercare, and no complications, the prognosis is favorable. However, if the cat is found late or complications such as blood clots or poisoning occur, the prognosis worsens. In some cases, depending on the injury, minor disturbances in the cat's gait may remain.
To prevent the tilted window syndrome, close all windows before leaving the house or install special protective devices on the windows so that your cat does not even try to climb out of the tilted window.
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