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Owner Story

Rocco’s Story: What I Learned When My Dog Was Diagnosed With a Brain Tumor

The first signs, the emergency visit, the MRI, the decisions that followed, and saying goodbye — one owner’s account, with what I wish every dog owner knew.

Owner Story  ·  By Matt Burkhalter, founder of Regenerative Treatment Guide  ·  October 1, 2026  ·  12 min read

Rocco, an Australian Shepherd with one brown eye and one blue eye, wearing a denim bandana with his name
In loving memory of Rocco2019 – 2026

Rocco was my Australian Shepherd. He had one blue eye and one brown one, and in July 2026, at about seven years old, he was diagnosed with a mass in his brain. In September, we had to say goodbye.

I’m writing this for two reasons. First, because the early signs were subtle and confusing, and I spent a lot of nights searching for answers that other owners might be searching for right now. Second, because going through it is the reason this site has a section for dogs at all — and why that section is careful about what regenerative medicine can and can’t do.

This is my experience, not veterinary advice. Where I explain medical terms, I link to veterinary sources. Rocco did not receive stem cell, PRP, or any other regenerative treatment.

Who Rocco was

I got Rocco from a breeder in Lake Nona, Florida.

Rocco loved walks, including on the golf course, and he pulled hard on the leash the whole way. He’d snap a tossed piece of pizza crust out of the air. And he had a funny habit: if you rubbed the base of his back, right above his tail, he’d start licking his lips every time.

Rocco mid-leap over a bar on an obstacle course, ears up and mouth open
Rocco clearing a jump on an obstacle course.

More than anything, he was always by my side. He followed me everywhere, like a shadow. And every night he was ready for bed before I was — he’d let me know it was our bedtime.

Rocco lying in the mulch under a bush with red and green leaves, on a blue leash
Rocco on one of our walks.

The first signs: walking close to the walls

It started suddenly on July 23, 2026. Rocco was walking very close to walls, sometimes bumping into them. Something was off with his eyes — they didn’t look aligned, and he wasn’t blinking normally on his left side. He seemed unsure of himself, a little off balance.

Before that day, nothing had seemed wrong. He was eating, acting like himself, going to the bathroom normally. Looking back, the change was so sudden that I didn’t know whether I was looking at an eye problem, an ear problem, or something else entirely.

An emergency visit, then a different answer

We went to an emergency veterinary hospital that night. The pressure in his left eye measured high, and the ER vet diagnosed acute glaucoma, gave him pain medication, and sent us home with eye drops and gabapentin.

The next morning we saw a board-certified veterinary ophthalmologist. His eye pressures were now normal in both eyes, and a closer exam of the drainage angle of his eyes was normal too. She ruled out glaucoma. What she found instead was that his blink on the left side was weak and inconsistent — both on its own and when she touched that side of his face. Her diagnosis was a problem with his left trigeminal nerve, the nerve that gives the face sensation and drives the blink reflex. She prescribed a lubricating eye gel to protect his eye, since a dog that doesn’t blink well can injure the cornea without feeling it.

She also told us that this kind of nerve problem can sometimes be caused by a mass pressing on the nerve, and that imaging — an MRI or CT — was the way to find out.

What is the trigeminal nerve?

The trigeminal nerve controls the jaw-closing muscles and gives the face its sensation. According to Cornell’s Riney Canine Health Center, problems with it can cause reduced facial sensation, a weak or absent blink reflex, muscle loss around the head, or a dropped jaw. Many cases are idiopathic (no cause is found) and improve on their own, but cancer is one possible cause, which is why an MRI may be recommended to rule out a tumor.

What I learned: a first diagnosis can change. The ER did what ER vets do — treat what’s in front of them that night — and the specialist the next morning had the time and tools to look deeper. If something doesn’t add up, a specialist is worth it.

The weekend: watching the small things

Neurology was booked for Monday. Over the weekend, I watched Rocco closely and wrote everything down:

  • He walked slower and more cautiously, especially at night, and stuck to the left side of the sidewalk, sometimes grazing walls.
  • When I tossed him a piece of pizza crust, he saw it coming but missed it — then found it on the ground and ate it right away.
  • One of his eyes didn’t seem to move side to side the way it should, so he turned his whole head to follow things.
  • His lip-licking reaction when I rubbed his back was gone.
  • One night he panted and paced for hours and couldn’t settle. I was afraid he was in pain.

I spent that weekend agonizing over whether to wait for Monday or go back to an emergency hospital with a neurologist. If you’re in that spot now: write down what you see, take short videos of your dog walking and of their eyes, and call your vet or an emergency hospital if things get worse quickly. Those notes and videos turned out to be useful.

Neurology and the MRI

On Monday, July 27, a board-certified veterinary neurologist examined Rocco. By then he had a subtle head tilt to the left, he was leaning and sometimes falling to the left, he circled to the left at times, and his eyes made small flicking movements in certain head positions. She described these as vestibular signs — problems with the balance system. His ears looked normal, his bloodwork was unremarkable, and his chest X-rays were clear.

What are vestibular signs?

The vestibular system controls balance. In a 2020 study of 759 dogs with vestibular signs in general practice, the most common signs were a head tilt, nystagmus (flicking eye movements), and wobbly walking. Problems can come from the inner ear (peripheral) or from the brain itself (central). Signs that point toward the brain include changes in mental alertness, problems with other cranial nerves, and certain kinds of nystagmus — and tumors are one of the central causes.

Then came the MRI. It showed a mass deep in the right side of his brain, in an area called the thalamus, with swelling around it.

A cross-section image from Rocco’s brain MRI, photographed from the screen on the day of his scan
A photo I took of one image from Rocco’s MRI on July 27, 2026.

Signs of brain tumors in dogs

The Merck Veterinary Manual lists behavior changes, circling, weakness, seizures, and vision problems among the signs of tumors of the nervous system. Seizures are the most common sign in dogs with tumors in the front of the brain, according to a 2019 review of canine brain tumors, but not every dog has them — Rocco never did. Signs depend on where the tumor is.

Brain tumors are most often diagnosed in middle-aged and older dogs (the median age in Merck is 9 years), and some breeds, including Boxers, Boston Terriers, and Golden Retrievers, are at higher risk for certain types.

What the MRI could — and couldn’t — tell us

This is something I didn’t understand at first. The MRI showed us where the mass was and that it was most likely a tumor. But it couldn’t tell us what kind. That usually takes a biopsy — a tissue sample — and getting a sample from deep in the brain carries real risk. We never had a biopsy, so we never knew the exact type.

Why an MRI usually can’t name the tumor type

MRI is the gold standard for imaging brain tumors in dogs, but the Merck Veterinary Manual notes that imaging-based diagnoses turn out to be wrong in roughly 30% of cases once tissue is examined. A definitive diagnosis and grade require a tissue sample (a biopsy) examined under a microscope (a 2019 review of canine brain tumors). Many dogs, like Rocco, are treated based on a presumptive diagnosis from imaging alone.

Deciding what to do next

The neurologist started Rocco on prednisone, a steroid, to bring down the swelling around the mass. The discharge notes were honest about it: it was meant to reduce the swelling and help him feel better, not to shrink the tumor or stop it from growing.

Why steroids are used

Corticosteroids such as prednisone are used to reduce swelling (edema) in the brain tissue around a tumor, which can ease neurological signs; they are considered palliative care, not a treatment for the tumor itself (a 2019 review of canine brain tumors). Common side effects include more thirst, urination, hunger, and panting — a 2023 study of dogs on steroids found 90% of owners noticed changes within two weeks.

She recommended a consultation with a radiation oncologist. I also looked into clinical trials for dogs with brain tumors and put together Rocco’s full medical history so a trial team could review it.

Radiation and clinical trials

Radiation therapy is one of the main treatment options for dogs with brain tumors, and it is often given without a biopsy. In a 2021 study of 59 dogs treated with stereotactic radiation (three high-precision doses over about three days), median survival was 738 days — and all but one of those tumors were diagnosed by imaging alone. By comparison, the Merck Veterinary Manual reports a median survival of 69 days across studies of dogs given palliative care only. Every dog is different, and a veterinary radiation oncologist can explain what’s realistic for a specific case.

Veterinary clinical trials are listed in the AVMA Veterinary Clinical Trials Registry. Ask early: some trials restrict medications a dog has already started, such as steroids.

Surgeons generally don’t want to operate on a mass that deep in the brain, so I started looking beyond the usual path. Some places offer alternative medicine and herbal remedies for dogs with serious brain tumors that surgeons won’t operate on, and we took Rocco to one of them.

We went to Chi University, near Gainesville. The visit was amazing — one of the best experiences I’ve ever had.

A whiteboard reading Welcome To CAH with Rocco’s name written on it; other pets’ names are blurred
The welcome board on the day of Rocco’s visit to Chi University. (Other pets’ names blurred.)

A note on herbal and alternative approaches

According to the Merck Veterinary Manual, evidence supporting herbal products in veterinary patients is scarce, the products commonly recommended for animals have no standards or quality-control testing, and herbs can change how prescribed medications work. If you’re considering any supplement or herbal product, tell every veterinarian treating your dog.

Searching for every possible option showed me how hard it is for owners to tell what’s backed by evidence and what’s only hope. That’s a big part of why this site exists.

The last weeks

Walking was one of Rocco’s favorite things in the world. We had a routine: a walk every morning at 6 a.m., and another right as the sun went down. In the first week after his diagnosis, he didn’t want to walk much anymore. That’s when I knew how serious this was.

He still ate, and he still went to bed early like he always did. But he kept declining. His appetite wasn’t as big as it used to be, and he walked less and less.

Toward the end, he could barely support his own weight while he was eating. When we let him out into our big backyard, sometimes he would just go into the corners. Those were the signs that told me it was time.

If you’re watching for the same things: the changes I noticed were in his routines — not wanting his favorite walks, eating less, struggling to stand, and going off into corners. Keep your veterinarian updated as you see them, because they can help you understand what each change means and how to keep your dog comfortable.

Saying goodbye

Rocco passed away in September 2026. We had to put him to sleep because he was in so much pain and he couldn’t support his own weight. You could tell the pain was too much for him.

Rocco sitting in a grassy field at sunset, looking to the side with his tongue out
Rocco at sunset.

Rocco — my shadow, my walking buddy, and the one who always told me when it was bedtime. Forever by my side.

Deciding when is the hardest part. I kept asking myself whether he was comfortable, whether he could still do the things that made him Rocco, and whether he was having more bad days than good ones. If you’re facing that question, your veterinarian can help you think it through, and there are tools that make it a little less impossible.

Measuring quality of life

Many veterinarians use the HHHHHMM quality-of-life scale, developed by veterinarian Dr. Villalobos. It rates seven things from 1 to 10: hurt, hunger, hydration, hygiene, happiness, mobility, and whether there are more good days than bad. The University of Illinois College of Veterinary Medicine notes that when there are more bad days than good, owners often choose euthanasia, and recommends talking it through with your veterinarian.

If you’re grieving a pet

Free, confidential support is available from veterinary schools, including the Cornell Pet Loss Support Hotline (607-218-7457) and the Tufts Pet Loss Support Helpline (508-839-7966). Hours vary, so check their pages.

What I wish every dog owner knew

  • Small changes matter. Walking close to walls, missing treats, a new head tilt, circling, or one eye blinking less are worth a vet visit — especially if they appear suddenly.
  • Write it down and film it. Short videos of walking and eye movements, plus dates and times, help your vet more than you’d think.
  • A first diagnosis can change. Ask what else it could be, and ask whether a specialist should take a look.
  • Ask what each treatment is for. Some medications treat the disease; others ease symptoms. Knowing the difference helps you set expectations.
  • Ask about clinical trials and specialists early. Some trials have rules about medications a dog has already started.
  • Be careful with promises. No stem cell, PRP, or herbal product has been shown to treat brain tumors in dogs. Tell your vet about anything you’re considering, including supplements.

Questions I asked along the way

  • Is this really an eye problem, or could it be neurological?
  • Could it be an ear problem? Should his ears be checked?
  • Is he in pain, or is the panting and pacing anxiety or a medication side effect?
  • What signs mean we should go to the emergency hospital now instead of waiting?
  • What will an MRI tell us, and what won’t it tell us?
  • Is radiation an option? Are there clinical trials he might qualify for?
  • How do we measure his comfort and quality of life day to day?

Where regenerative medicine fits — and where it doesn’t

People sometimes assume that because I run a site about regenerative medicine, I must have tried it for Rocco. I didn’t, and it wouldn’t have been appropriate. Stem cell and PRP treatments for dogs are mainly studied for arthritis and joint problems. They are not cancer treatments, and no stem cell product is FDA-approved for animals. Our guide to regenerative medicine for dogs explains what the research does and doesn’t show.

Frequently asked questions

Signs depend on where the tumor is. Veterinary sources list behavior changes, circling, weakness, seizures, and vision problems; balance problems such as a head tilt, wobbly walking, or flicking eye movements can also occur. In Rocco's case, the first signs were walking close to walls, abnormal eyes, and reduced blinking on one side. Any sudden neurological change is worth a prompt vet visit.
Not with certainty. MRI is the best imaging test for brain tumors in dogs and can show where a mass is and suggest what it might be, but a definitive diagnosis requires a biopsy. Imaging-based diagnoses are wrong in roughly 30% of cases once tissue is examined, according to the Merck Veterinary Manual.
Prednisone is used to reduce swelling around the tumor, which can ease symptoms, but it is considered palliative care rather than a treatment for the tumor itself. Rocco's discharge notes said it was not expected to shrink the mass or stop it from growing.
No stem cell, PRP, or herbal product has been shown to treat brain tumors in dogs. Stem cell and PRP treatments for dogs are mainly studied for arthritis, and evidence for herbal products in veterinary patients is scarce. Talk with your veterinarian or a veterinary oncologist about options such as radiation or clinical trials.
There is no single answer, and your veterinarian can help. Many vets use quality-of-life scales that rate pain, eating, drinking, hygiene, happiness, mobility, and whether there are more good days than bad. For Rocco, it was clear when he was in severe pain and could no longer support his own weight.

Learn what regenerative medicine can and can’t do for dogs

An honest, sourced guide to stem cell and PRP treatments for dogs with arthritis, dysplasia, and ligament injuries.

Read the Dog Guide

Related reading

  • Regenerative Medicine for Dogs: Stem Cells, PRP & the Evidence
  • Stem Cell Therapy for Dogs: What the Research Says
This is one owner’s personal experience, written for other dog owners. It is not veterinary advice. Medical details are from Rocco’s veterinary records and my own observations; veterinarians and hospitals are not named. Always talk with a licensed veterinarian about your own dog.

Veterinary Disclaimer

This is one owner’s personal experience and is for educational purposes only. It is not medical or veterinary advice, diagnosis, or treatment. Always consult a licensed veterinarian about your dog’s specific condition.


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