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Topic:Nerves

The study of nerves in horses encompasses the structure, function, and disorders of the equine nervous system. This system is responsible for transmitting signals between different parts of the body and coordinating actions and sensory information. Key components include the central nervous system, consisting of the brain and spinal cord, and the peripheral nervous system, which includes nerves extending throughout the body. Research in this area investigates the role of nerves in equine behavior, movement, and response to stimuli, as well as conditions such as neuropathies and nerve injuries. This topic includes a collection of peer-reviewed research studies and scholarly articles that explore the anatomy, physiology, and clinical implications of the nervous system in horses.
Surgical correction of a meningoencephalocele in a thoroughbred filly.
Veterinary surgery : VS    May 28, 2019   Volume 48, Issue 8 1483-1489 doi: 10.1111/vsu.13240
Buck AM, Hunt RJ.To describe the surgical correction of a closed meningoencephalocele in a thoroughbred filly. Methods: Case report. Methods: One thoroughbred filly, 1.5โ€‰months old at the time of surgery. Methods: A meningoencephalocele was identified at birth and diagnosed with radiography and MRI. The abnormal tissue was excised and submitted for histopathology, the dura was closed, and the defect in the skull was corrected with a titanium mesh. Results: Histopathology confirmed the presence of neural parenchyma consisting of neurons and glial cells. The filly remained without neurologic deficits 7โ€‰month...
Is Electrical Nerve Stimulation the Answer for Management of Equine Headshaking?
The Veterinary clinics of North America. Equine practice    April 30, 2019   Volume 35, Issue 2 263-274 doi: 10.1016/j.cveq.2019.03.002
Pickles K.Horses with trigeminal mediated headshaking (TMHS) have a decreased activation threshold of the trigeminal nerve and clinical signs are suspected to be a manifestation of trigeminal neuralgia. Electrical nerve stimulation (ENS) is used for management of neuralgia in humans and appears to work via gate control theory. Use of an equine specific percutaneous ENS program in over 130 TMHS horses has resulted in approximately 50% success return to previous work. Electroacupuncture may also be useful in the management TMHS. Optimization of ENS procedures for TMHS is likely to require a greater unders...
Neuroanatomy of the equine brain as revealed by high-field (3Tesla) magnetic-resonance-imaging.
PloS one    April 1, 2019   Volume 14, Issue 4 e0213814 doi: 10.1371/journal.pone.0213814
Schmidt MJ, Knemeyer C, Heinsen H.In this study, the morphology of the horse brain (Equus caballus) is decribed in detail using high field MRI. The study includes sagittal, dorsal, and transverse T2-weighted images at 0.25 mm resolution at 3 Tesla and 3D models of the brain presenting the external morphology of the brain. Representative gallocyanin stained histological slides of the same brain are presented. The images represent a useful tool for MR image interpretation in horses and may serve as a starting point for further research aiming at in vivo analysis in this species.
Polyradiculoneuropathy in dourine-affected horses.
Neuromuscular disorders : NMD    March 18, 2019   Volume 29, Issue 6 437-443 doi: 10.1016/j.nmd.2019.03.005
Mungun-Ochir B, Horiuchi N, Altanchimeg A, Koyama K, Suganuma K, Nyamdolgor U, Watanabe KI, Baatarjargal P, Mizushima D, Battur B, Yokoyama N....Dourine is an equine protozoan disease caused by Trypanosoma equiperdum. Dourine-afflicted animals die after developing neurological clinical signs, such as unilateral paresis. The disease has been a problem for many years; however, the pathogenesis regarding the neurological clinical signs of dourine has been unclear. In the present study, we conducted a histopathological examination in order to investigate the mechanisms by which dourine-afflicted horses develop the accompanying neurological clinical signs. Four dourine-afflicted horses in Mongolia were evaluated. An apparently healthy horse...
An atypical presentation of multi-systemic B-cell lymphoma in a horse.
The Canadian veterinary journal = La revue veterinaire canadienne    March 16, 2019   Volume 60, Issue 3 300-304 
Torrent A, Kilcoyne I, Johnson A, Affolter VK, Berryhill E, Aleman M.This report describes an unusual presentation of multicentric B-cell lymphoma with central and peripheral nerve involvement in a horse that was presented with acute onset, severe, multiple limb lameness, and muscle atrophy. This case highlights the importance of including neoplasia in the differential list in horses presenting for severe limb lameness associated with muscle atrophy, muscle fasciculations, and weakness. Prรฉsentation atypique dโ€™un lymphome ร  cellules B multisystรฉmique chez un cheval. Ce rapport dรฉcrit la prรฉsentation inhabituelle dโ€™un lymphome ร  cellules B multicentriq...
Asymmetric recurrent laryngeal nerve conduction velocities and dorsal cricoarytenoid muscle electromyographic characteristics in clinically normal horses.
Scientific reports    February 25, 2019   Volume 9, Issue 1 2713 doi: 10.1038/s41598-019-39189-z
Cercone M, Hokanson CM, Olsen E, Ducharme NG, Mitchell LM, Piercy RJ, Cheetham J.The dorsal cricoarytenoid (DCA)ย muscles, are a fundamental component of the athletic horse's respiratory system: as the sole abductors of the airways, they maintain the size of the rima glottis which is essential for enabling maximal air intake during intense exercise. Dysfunction of the DCA muscle leads to arytenoid collapse during exercise, resulting in poor performance. An electrodiagnostic study including electromyography of the dorsal cricoarytenoid muscles and conduction velocity testing of the innervating recurrent laryngeal nerves (RLn) was conducted in horses with normal laryngeal fu...
Luteinizing hormone concentrations in healthy horses and horses with trigeminal-mediated headshaking over an 8-hour period.
Journal of veterinary internal medicine    February 17, 2019   Volume 33, Issue 2 885-888 doi: 10.1111/jvim.15451
Sheldon SA, Aleman M, Costa LRR, Santoyo AC, Weich KM, Howey Q, Madigan JE.Trigeminal-mediated headshaking results from a low threshold for firing of the trigeminal nerve. A seasonal component has been implicated in onset of clinical signs, which occur during the spring and summer months. Geldings are overrepresented in the affected population and hormonal differences as compared to a healthy control population of geldings might contribute to headshaking. Objective: To assess concentrations of luteinizing hormone (LH) over an 8-hour period in gelded healthy controls and horses affected with headshaking. Our hypothesis was that geldings with seasonal headshaking would...
An Objective Assessment of the Effect of Anesthetizing the Median Nerve on Lameness Caused by Pain in the Cubital Joint.
Journal of equine veterinary science    December 19, 2018   Volume 75 9-13 doi: 10.1016/j.jevs.2018.12.008
McGlinchey L, Agne G, Passler T, Cole R, Schumacher J.The median nerve, along with the ulnar nerve, is often anesthetized when performing a lameness examination in horses. Because of the close proximity of the median nerve to the cubital joint, proximal migration of local anesthetic might ameliorate pain originating from the cubital joint. The objective of this study was to determine if a median nerve block will ameliorate lameness caused by pain in the cubital joint. A forelimb lameness was induced in six healthy horses by injecting 100ย ng of recombinant equine interleukin 1 beta (IL-1ฮฒ) into the cubital joint. The median nerve of the lame leg...
The effect of a compression bandage on the distribution of radiodense contrast medium after palmar digital nerve blocks.
Equine veterinary journal    August 23, 2018   Volume 51, Issue 2 261-265 doi: 10.1111/evj.13000
Gylling SMK, Frandsen SS, ร˜stergaard S, Thomsen MH, Christophersen MT, Krรผger T, Jacobsen S.Studies have shown proximal diffusion of injected drugs in perineural blocks; such diffusion may affect specificity of the nerve block. Objective: To investigate the effect of a compression bandage applied to the pastern region on proximal diffusion of contrast medium injected over the palmar digital nerves. Methods: Experimental study, randomised cross-over design. Methods: Radiodense contrast medium was injected over the lateral and medial palmar digital nerves of the left front limb of nine mature horses. Each horse was injected on two separate occasions, once with a 5 cm wide compression b...
Internal neurolysis of the maxillary branch of the trigeminal nerve for the treatment of equine trigeminal mediated headshaking syndrome.
The Canadian veterinary journal = La revue veterinaire canadienne    July 22, 2018   Volume 59, Issue 7 763-769 
Bell C, Hnenny L, Torske K.A 5-year-old Hannovarian warmblood gelding was presented for recurrent headshaking exacerbated with exercise. The horse displayed clinical signs of repetitive vertical head movements, face rubbing on the forelimbs and on the ground, repetitive sneezing, and striking the muzzle with his forelimbs. The clinical signs resulted in a horse that could not be ridden and was dangerous. Clinical signs were most persistent in direct sunlight, but occurred with excitement, exercise, or bridling indoors. A diagnosis of equine trigeminal mediated headshaking syndrome was made. Surgical treatment was perfor...
Attentional state and brain processes: state-dependent lateralization of EEG profiles in horses.
Scientific reports    July 5, 2018   Volume 8, Issue 1 10153 doi: 10.1038/s41598-018-28334-9
Rochais C, Sรฉbilleau M, Menoret M, Oger M, Henry S, Hausberger M, Cousillas H.Lateralization of brain functions has been suggested to provide individuals with advantages, such as an increase of neural efficiency. The right hemisphere is likely to be specialized for processing attention for details and the left hemisphere for categorization of stimuli. Thus attentional processes actually may underlie lateralization. In the present study, we hypothesized that the attentional state of horses could be reflected in the lateralization of brain responses. We used i) a recently developed attention test to measure horses' visual attentional responses towards a standardized stimu...
Causal and functional interpretation of mu- and delta-opioid receptor profiles in mesoaccumbens and nigrostriatal pathways of an oral stereotypy phenotype.
Behavioural brain research    June 28, 2018   Volume 353 108-113 doi: 10.1016/j.bbr.2018.06.031
Hemmings A, Parker MO, Hale C, McBride SD.Spontaneous stereotypic behaviours are repetitive, compulsive, topographically invariant response patterns commonly observed in captive or domestic animals, which have been linked to dysfunction of basal ganglia input/output pathways. There is evidence that endogenous opioids play a key regulatory role in basal ganglia direct and indirect pathways, but their precise role, both causally and functionally, in spontaneous stereotypic behaviour is unclear. Here we examined the profile of mu- and delta-opioid receptors (density [Bmax] and affinity [Kd]) of basal ganglia structures in stereotypy (nโ€...
Synovial nerve fiber density decreases with naturally-occurring osteoarthritis in horses.
Osteoarthritis and cartilage    June 26, 2018   Volume 26, Issue 10 1379-1388 doi: 10.1016/j.joca.2018.06.006
Pujol R, Girard CA, Richard H, Hassanpour I, Binette MP, Beauchamp G, McDougall JJ, Laverty S.To measure the nerve fiber density in synovial membranes from healthy and OA equine joints and to investigate the relationship between synovial innervation and OA severity, synovial vascularity and synovitis. Twenty-five equine metacarpophalangeal joints were collected post-mortem. The joints were dissected and the macroscopic lesions of the articular cartilage were scored. Synovial membrane specimens (nย =ย 50) were harvested, fixed, sectioned and scored histologically. Immunohistochemical staining and immunofluorescence with S-100 protein, that identifies nerve fibers, and โบ-actin, that st...
Alterations in Metabolic Status and Headshaking Behavior Following Intravenous Administration of Hypertonic Solutions in Horses with Trigeminal-Mediated Headshaking.
Animals : an open access journal from MDPI    June 25, 2018   Volume 8, Issue 7 doi: 10.3390/ani8070102
Sheldon S, Aleman M, Costa L, Santoyo AC, Howey Q, Madigan J.Trigeminal-nerve-mediated headshaking represents a major welfare challenge for owners and veterinarians and is caused by a low threshold firing of the trigeminal nerve resulting in pain manifested as violent head jerking that often terminates the horse’s career and life due to poor quality of life and suffering. As metabolic changes such as acidโปbase status and electrolytes play a role in nerve firing, this study sought to assess the effects following administration of hypertonic solutions on headshaking behavior in affected horses. This prospective randomized controlled crossover desi...
Evaluation of the equine mental foramen block: cadaveric and in vivo injectate diffusion.
Veterinary anaesthesia and analgesia    June 19, 2018   Volume 45, Issue 6 839-848 doi: 10.1016/j.vaa.2018.06.002
Rawlinson JE, Bass L, Campoy L, Lesser C, Prytherch B.To describe injectate diffusion for two equine mental foramen block techniques. Methods: Descriptive anatomic study. Methods: A total of 12 equine heads and three live horses. Methods: Equine heads were longitudinally sectioned to create 24 hemi-heads for testing two mental foramen block techniques (T1 and T2) and two injectate volumes (3 and 5 mL) of mixed dye and contrast medium. T1 needles were directed rostrocaudally into the mental foramen for 3 cm, and T2 needles were directed dorsolaterally to ventromedially into the foramen for 1 cm. Hemi-heads were randomly assigned one injection tech...
Unilateral cervical plexus block for prosthetic laryngoplasty in the standing horse.
Equine veterinary journal    May 17, 2018   Volume 50, Issue 6 727-732 doi: 10.1111/evj.12956
Campoy L, Morris TB, Ducharme NG, Gleed RD, Martin-Flores M.Locoregional anaesthetic techniques can facilitate certain surgeries being performed under standing procedural sedation. The second and third spinal cervical nerves (C2, C3) are part of the cervical plexus and provide sensory innervation to the peri-laryngeal structures in people; block of these nerves might permit laryngeal lateralisation surgery in horses. Objective: To describe the anatomical basis for an ultrasound-guided cervical plexus block in horses. To compare this block with conventional local anaesthetic tissue infiltration in horses undergoing standing prosthetic laryngoplasty. Met...
Paranasal sinus cysts in the horse: Complications related to their presence and surgical treatment in 37 cases.
Equine veterinary journal    May 17, 2018   Volume 51, Issue 1 57-63 doi: 10.1111/evj.12959
Fenner MF, Verwilghen D, Townsend N, Simhofer H, Schwarzer J, Zani DD, Bienert-Zeit A.Paranasal sinus cysts (PSC) are a common cause of equine secondary sinusitis. The outcome and associated complications have not been frequently reported. Objective: To review the associated clinical signs, associated morbidities and outcomes of horses treated for PSC. Methods: Retrospective multicentre case series. Methods: Retrospective analysis of case records and telephone follow up survey. Results: Subjects were 37 horses 1-24 years old that were presented with nasal discharge (n = 31), facial swelling (n = 25) and epiphora (n = 19). Radiography and computed tomography allowed identificati...
Abnormal locomotor muscle recruitment activity is present in horses with shivering and Purkinje cell distal axonopathy.
Equine veterinary journal    February 12, 2018   Volume 50, Issue 5 636-643 doi: 10.1111/evj.12813
Aman JE, Valberg SJ, Elangovan N, Nicholson A, Lewis SS, Konczak J.Cerebellar Purkinje cell axonal degeneration has been identified in horses with shivering but its relationship with abnormal hindlimb movement has not been elucidated. Objective: To characterise surface electromyographic (sEMG) hindlimb muscle activity in horses with shivering, correlate with clinical scores and examine horses for Purkinje axonal degeneration. Methods: Descriptive controlled clinical study. Methods: The hindlimb of seven shivering and six control draught horses were clinically scored. Biceps femoris (BF), vastus lateralis (VL), tensor fasciae latae and extensor digitorum longu...
Determining Direction of Axonal Flow in the Equine Ramus Communicans by Ultrastructural Examination of the Plantar Nerves 2 Months after Transecting the Ramus. Al-Bagdadi F, Schumacher J, Carter J, Tรณth F, Henry RW.The ramus communicans, neural connection between medial and lateral plantar nerves of the horse, was transected to determine the degree to which medial and lateral plantar nerves contribute to the plantar ramus. After 2 months, sections of plantar nerves immediately proximal and distal to the communicating branch were collected and processed for electron microscopy. All examined nerves had undergone Wallerian degeneration and contained regenerating and mature fibers. Layers of the myelin sheath were separated by spaces and vacuoles, indicating demyelination of medial and lateral plantar nerves...
Modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy in horses.
Equine veterinary journal    January 5, 2018   Volume 50, Issue 4 457-464 doi: 10.1111/evj.12788
Rossignol F, Brandenberger O, Perkins JD, Marie JP, Mespoulhรจs-Riviรจre C, Ducharme NG.In horses, the only established method for reinnervation of the larynx is the nerve-muscle pedicle implantation, whereas in human medicine, direct nerve implantation is a standard surgical technique for selective laryngeal reinnervation in human patients suffering from bilateral vocal fold paralysis. Objective: (1) To describe a modified first or second cervical nerve transplantation technique for the treatment of recurrent laryngeal neuropathy (RLN) in horses and (2) evaluate the outcomes of reinnervation using direct nerve needle-stimulation of the first cervical nerve and exercising endosco...
[A case of leptomeningeal melanomatosis with acute paraplegia and multiple cranial nerve palsies].
Rinsho shinkeigaku = Clinical neurology    November 28, 2017   Volume 57, Issue 12 769-774 doi: 10.5692/clinicalneurol.cn-001092
Hattori K, Matsuda N, Murakami T, Ito E, Ugawa Y.A 62-year-old man with acute paraplegia was transferred to our hospital. He had flaccid paraplegia and multiple cranial nerve palsies, such as mydriasis of the left pupil, abduction palsy of the left eye, hoarseness and dysphagia, but no meningeal irritation signs. MRI of the spinal canal showed swellings of the conus medullaris and the cauda equine, and also contrast enhancement of the spinal meninges. The cerebrospinal fluid (CSF) showed pleocytosis and protein increment. The lymph node was swollen in his right axilla. The biopsy specimen from the right axillary lymph node revealed metastasi...
Spinal Cord Compression in a Horse due to a Granular Cell Variant of Neurofibroma.
Journal of comparative pathology    November 7, 2017   Volume 157, Issue 4 303-307 doi: 10.1016/j.jcpa.2017.10.002
Civello ANE, Dunkel B, Summers BA, Martineau HM.A neurofibroma of granular cell subtype is described in a 7-year-old horse. The horse had a 3-month history of ataxia affecting the forelimbs and hindlimbs, suggesting a C1-C6 neuroanatomical localization. Post-mortem examination revealed an intradural mass arising from the right sixth cervical spinal nerve and compressing the spinal cord. Histologically, the mass was composed largely of wavy spindle cells (a mixture of Schwann cells, perineurial cells and fibroblasts) intimately associated with ropy collagen fibres. Approximately 25% of the spindle cells were swollen and contained densely-pac...
Histological and functional characterizations of the digital cushion in Quarter horses.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    October 31, 2017   Volume 81, Issue 4 285-291 
Faramarzi B, Lantz L, Lee D, Khamas W.The digital cushion (DC) plays a role in absorbing and dampening forces applied to the foot and therefore supports internal structures such as navicular bone; yet, its architecture is not well-known. The goal of this study was to characterize the microanatomical structure of the DC in horses with clinically sound hooves. Both forefeet from the cadavers of 12 adult Quarter horses were cut and sectioned and samples of the following 4 regions of the DC were obtained: axial proximal (AxProx), axial distal (AxDis), abaxial lateral (AbxLat), and abaxial medial (AbxMed). The samples were processed an...
Endocardial Peripheral Nerve Sheath Tumour with Features of a Benign Schwannoma in a Donkey.
Journal of comparative pathology    October 21, 2017   Volume 157, Issue 4 280-283 doi: 10.1016/j.jcpa.2017.09.003
Paraschou G, Suรกrez-Bonnet A, Grove V, Priestnall SL.A peripheral nerve sheath tumour, with features of a benign schwannoma and arising from the endocardium of the right ventricle, was found incidentally during routine post-mortem examination of a 28-year-old gelding donkey. Macroscopically, five round to oval, white to grey and red, firm masses, firmly attached to the endocardium were identified. Microscopically, the endocardium and adjacent subendocardium were infiltrated by a variably demarcated, non-encapsulated mesenchymal neoplasm with features of a benign schwannoma, including concurrent presence of Antoni A and Antoni B areas, nuclear pa...
Histological changes in the proximal suspensory ligament after neurectomy of the deep branch of the lateral palmar nerve of horses with induced proximal suspensory desmitis.
Veterinary journal (London, England : 1997)    September 1, 2017   Volume 227 46-48 doi: 10.1016/j.tvjl.2017.08.008
Lopez-Navarro G, Trigo-Tavera FJ, Rodriguez-Monterde A, Gutierrez-Ospina G, Arechavaleta-Velasco M, Schumacher J, Schumacher J.Proximal suspensory desmitis (PSD) is a common cause of lameness in the pelvic limb, but could also affect the thoracic limb of competing and non-competing horses. Most horses diagnosed with PSD in a thoracic limb respond to rest followed by controlled exercise, but in a small percentage of affected horses, lameness persists. In one study, four horses chronically lame because of PSD in a thoracic limb became sound after neurectomy of the deep branch of the lateral palmar nerve (DBLPaN), which innervates the proximal aspect of the suspensory ligament (SL; Guasco et al., 2013). Whether neurectom...
Differential Expression of Tubulin Acetylase and Deacetylase Between the Damaged Central and Peripheral Branch of Dorsal Root Ganglion Neurons.
Medical science monitor : international medical journal of experimental and clinical research    July 28, 2017   Volume 23 3673-3678 doi: 10.12659/msm.902829
Fu Z, Shi J.BACKGROUND The differences between the peripheral and central branches of the dorsal root ganglion (DRG) have not been fully elucidated. This study aimed to explore the expression of tubulin post-translational modifications (acetylation and deacetylation) between damaged peripheral and central branches of DRG neurons. MATERIAL AND METHODS Fifty Sprague-Dawley rats were randomly assigned to five groups with 10 rats in each group. These five groups consisted of spinal nerve ligation (SNL) at 24 hour and 48 hour, and cauda equina compression (CEC) at 24 hour and 48 hour, and a sham group. SNL inj...
The deep fascia and retinacula of the equine forelimb – structure and innervation.
Journal of anatomy    June 5, 2017   Volume 231, Issue 3 405-416 doi: 10.1111/joa.12643
Skalec A, Egerbacher M.Recent advances in human fascia research have shed new light on the role of the fascial network in movement perception and coordination, transmission of muscle force, and integrative function in body biomechanics. Evolutionary adaptations of equine musculoskeletal apparatus that assure effective terrestrial locomotion are employed in equestrianism, resulting in the wide variety of movements in performing horses, from sophisticated dressage to jumping and high-speed racing. The high importance of horse motion efficiency in the present-day equine industry indicates the significance of scientific...
Trigeminal Nerve Root Demyelination Not Seen in Six Horses Diagnosed with Trigeminal-Mediated Headshaking.
Frontiers in veterinary science    May 15, 2017   Volume 4 72 doi: 10.3389/fvets.2017.00072
Roberts VL, Fews D, McNamara JM, Love S.Trigeminal-mediated headshaking is an idiopathic neuropathic facial pain syndrome in horses. There are clinical similarities to trigeminal neuralgia, a neuropathic facial pain syndrome in man, which is usually caused by demyelination of trigeminal sensory fibers within either the nerve root or, less commonly, the brainstem. Our hypothesis was that the neuropathological substrate of headshaking in horses is similar to that of trigeminal neuralgia in man. Trigeminal nerves, nerve roots, ganglia, infraorbital, and caudal nasal nerves from horse abattoir specimens and from horses euthanized due to...
Angiographic anatomy of the extracranial and intracranial portions of the internal carotid arteries in donkeys.
Irish veterinary journal    April 20, 2017   Volume 70 12 doi: 10.1186/s13620-017-0090-0
Khairuddin NH, Sullivan M, Pollock PJ.In horses, the extracranial and intracranial pathway of the internal carotid artery has been described. The extracranial pathway of the internal carotid artery begins at the carotid termination and runs on the dorsal surface of the medial compartment of the guttural pouch. Thereafter the internal carotid artery passes through the foramen lacerum to continue intracranially, forming part of the rostrolateral quadrants of the cerebral arterial circle (Circle of Willis). The objectives of this study were to define and record the anatomy of the carotid arterial tree and the internal carotid artery ...
Maxillary nerve blocks in horses: an experimental comparison of surface landmark and ultrasound-guided techniques.
Veterinary anaesthesia and analgesia    April 6, 2017   Volume 44, Issue 4 951-958 doi: 10.1016/j.vaa.2016.09.005
Stauffer S, Cordner B, Dixon J, Witte T.The aim of this preliminary proof-of-concept study was to evaluate and compare the success and complication rate of infiltration of the maxillary nerve of cadaver heads using previously described surface landmarks, standard ultrasound and a novel needle guidance positioning ultrasound system (SonixGPS). Methods: Prospective, anatomical, method-comparison study. Methods: Thirty-eight equine cadaver heads. Methods: Twenty-six veterinary students performed the three methods consecutively on cadaver heads using an 18 gauge, 8.9 cm spinal needle and 0.5ย mL iodinated contrast medium. Computed tomog...
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