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VEFeline Hyperesthesia Syndrome (FHS)
A rare neurological and behavioral disorder where cats show episodes of extreme skin sensitivity, muscle twitching, and sudden behavioral changes.
It’s sometimes called “rolling skin syndrome.”
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Causes (not fully understood):
• Abnormal electrical activity in the brain (like a mild seizure disorder)
• Stress or anxiety
• Skin irritation or spinal pain
• Compulsive behavior or OCD tendencies
• In some cases, idiopathic (no clear cause)
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Clinical Signs:
• Rippling or twitching of the skin (especially on the back)
• Sudden biting or licking of the tail, back, or sides
• Dilated pupils, agitation, or running wildly
• Vocalization during episodes
• Sometimes self-inflicted wounds from excessive grooming
Episodes often last seconds to minutes and may be triggered by touch or stress.
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Diagnosis:
There’s no single test for FHS — it’s diagnosed by ruling out other causes such as:
• Skin allergies or parasites
• Spinal pain or arthritis
• Neurological disorders
Tests may include:
• Skin scraping, X-rays, or blood work
• Neurological exam
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Treatment:
• Environmental management: reduce stress, provide routine and enrichment
• Medication (as prescribed by vet):
• Anticonvulsants: Gabapentin or Phenobarbital
• Anti-anxiety: Fluoxetine or Clomipramine
• Pain relief: if spinal discomfort is suspected
• Avoid overstimulation and reduce triggers such as rough petting or sudden noises .
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