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Topic:Neurological Diseases

Neurological diseases in horses encompass a range of disorders affecting the central and peripheral nervous systems. These conditions can arise from various etiologies, including infectious agents, genetic predispositions, trauma, or metabolic imbalances. Common neurological diseases in horses include equine protozoal myeloencephalitis (EPM), equine herpesvirus myeloencephalopathy (EHM), and cervical vertebral stenotic myelopathy (CVSM), also known as wobbler syndrome. Clinical signs associated with these diseases may include ataxia, weakness, altered gait, and changes in behavior or mental status. Diagnosis typically involves a combination of clinical evaluation, imaging techniques, and laboratory testing. This page compiles peer-reviewed research studies and scholarly articles that investigate the pathophysiology, diagnostic approaches, and treatment options for neurological diseases in equine populations.
The prevalence of temporal bone fractures is high in horses with severe temporohyoid osteoarthropathy. Tanner J, Spriet M, Espinosa-Mur P, Estell KE, Aleman M.Temporohyoid osteoarthropathy is a well-recognized cause of equine neurologic disease. Temporal bone fractures associated with temporohyoid osteoarthropathy have been recognized with CT, however, little information is available regarding these fractures. The aims of this retrospective analytical study were to assess the prevalence of these fractures and to describe the specific configurations and associated imaging and clinical features. Fracture of the temporal bone was identified with CT in 16 of 39 included horses. All fractures were unilateral, minimally displaced and extended through the ...
Melarsomine hydrochloride (Cymelarsan®) fails to cure horses with Trypanosoma equiperdum OVI parasites in their cerebrospinal fluid.
Veterinary parasitology    November 9, 2018   Volume 264 47-51 doi: 10.1016/j.vetpar.2018.11.005
Hébert L, Guitton E, Madeline A, Géraud T, Zientara S, Laugier C, Hans A, Büscher P, Cauchard J, Petry S.The aim of this study was to evaluate the ability of melarsomine hydrochloride (Cymelarsan) to cure horses suffering from a nervous form of dourine, a sexually-transmitted disease caused by Trypanosoma equiperdum. The recently described experimental model for assessing drug efficacy against horse trypanosomosis allowed us to obtain eight horses (Welsh pony mares) infected by T. equiperdum with parasites in their cerebrospinal fluid. The Cymelarsan treatment evaluated consisted of the daily administration of 0.5 mg/kg of Cymelarsan over 7 days. Two control horses remained untreated, three hor...
West Nile virus associated with equid encephalitis in Brazil, 2018.
Transboundary and emerging diseases    November 2, 2018   Volume 66, Issue 1 445-453 doi: 10.1111/tbed.13043
Silva ASG, Matos ACD, da Cunha MACR, Rehfeld IS, Galinari GCF, Marcelino SAC, Saraiva LHG, Martins NRDS, Maranhão RPA, Lobato ZIP, Pierezan F....Mosquito-borne arboviruses are a major public health concern worldwide and are responsible for emerging and re-emerging diseases. Taken together, the arboviruses have a strong impact on public health and are the most common causes of equine encephalitis. In-depth diagnostic investigation of equine viral encephalitis is of utmost importance for the epidemiological surveillance and control of this disease. Regarding neurological disorders in equids, in April-May 2018, at least 12 cases of equid mortality with acute neurological signs were reported in six farms from Espirito Santo state, Brazil. ...
Extradural spinal hydatid cyst causing hindlimb ataxia in a horse.
Schweizer Archiv fur Tierheilkunde    November 1, 2018   Volume 160, Issue 11 659-664 doi: 10.17236/sat00183
Peter V, Marr C, Foote A, Auer H, Head M.This case report describes a 13-year-old cob-cross gelding presented for evaluation of recent onset hindlimb ataxia. The gelding had undergone general anaesthesia and tenoscopy of the right hindlimb digital flexor tendon sheath at a nearby clinic three months earlier and had appeared normal at routine post-operative assessments until the sudden onset of neurological deficits. Spinal trauma was suspected initially but radiography and scintigraphy were unremarkable. Due to the severity and progressive nature of the clinical signs the -gelding was subjected to euthanasia. Post mortem examinations...
Concern Regarding the Publication by Posbergh et al. “A Nonsynonymous Change in Adhesion G Protein-Coupled Receptor L3 Associated With Risk for Equine Degenerative Myeloencephalopathy in the Caspian Horse,” J Equine Vet Sci 2018;70:96-100.
Journal of equine veterinary science    October 29, 2018   Volume 72 124 doi: 10.1016/j.jevs.2018.10.021
Leeb T.No abstract available
Nerve Stimulator-guided Injection of Autologous Stem Cells Near the Equine Left Recurrent Laryngeal Nerve.
Journal of visualized experiments : JoVE    September 26, 2018   Issue 139 58023 doi: 10.3791/58023
Sandersen C, Ceusters J, Fourez A, Tosi I, Graide H, Lejeune JP, Serteyn D.Recurrent laryngeal neuropathy (RLN) commonly affects horses and is characterized by abnormal respiratory sounds and exercise intolerance. The recurrent laryngeal nerve shows lesions of demyelination. The benefit of applying stem cells to demyelinated nerves has been demonstrated in various animal models. The aim of the study was to test the feasibility and safety of a peri-neuronal injection of autologous muscle-derived mesenchymal stem cells to the left recurrent laryngeal nerve in healthy horses by using an electrical nerve stimulator. Muscle-derived stems cell are obtained from five health...
Magnetic motor evoked potentials of cervical muscles in horses.
BMC veterinary research    September 24, 2018   Volume 14, Issue 1 290 doi: 10.1186/s12917-018-1620-z
Rijckaert J, Pardon B, Van Ham L, Joosten P, van Loon G, Deprez P.When surgical treatment of cervical vertebral malformation is considered, precise localization of compression sites is essential, but remains challenging. Magnetic motor evoked potentials (mMEP) from paravertebral muscles are useful in localizing spinal cord lesions, but no information about cervical muscle mMEP in horses is available yet. Therefore, the aim of this study was to determine the possibility, normal values, inter- and intra-observer agreement and factors that have an effect on cervical mMEP in healthy horses. Methods: Transcranial magnetic stimulation was performed on 50 normal ho...
Utility of C-reactive protein and serum amyloid A in the diagnosis of equine protozoal myeloencephalitis.
Journal of veterinary internal medicine    September 14, 2018   Volume 32, Issue 5 1726-1730 doi: 10.1111/jvim.15254
Mittelman NS, Stefanovski D, Johnson AL.Accurate antemortem EPM diagnosis requires evidence of intrathecal antibody production. Some advocate the use of acute phase proteins in addition to serology, which alone results in substantial false positives. Objective: The purpose of this study was to determine if serum C-reactive protein (CRP) or serum amyloid A (SAA) concentrations were elevated in cases of equine protozoal myeloencephalitis (EPM) compared to other neurological diseases. Methods: 25 clinical cases of equine neurological disease: EPM (10), cervical vertebral stenotic myelopathy (CVSM) (10), neuroborreliosis (2), equine mot...
In silico identification of immunodominant B-cell and T-cell epitopes of non-structural proteins of Usutu Virus.
Microbial pathogenesis    September 11, 2018   Volume 125 129-143 doi: 10.1016/j.micpath.2018.09.019
Satyam R, Janahi EM, Bhardwaj T, Somvanshi P, Haque S, Najm MZ.Usutu Virus (USUV; flavivirus) is a re-emerging pathogen invading the territories of European countries, Asia, and Africa. It is a mosquito-borne zoonotic virus with a bi-directional transmission route from animal to human and vice versa, and causes neurological disorders such as meningoencephalitis in bats, Homo sapiens, birds and horses. Due to limited availability of information about USUV and its deleterious effects on neural cells causing neurologic impairments, it becomes imperative to study this virus in detail to equip ourselves with a solution beforehand. The current study aims to ide...
Cervical stabilization with polyaxial pedicle screw and rod construct in horses: A proof of concept study.
Veterinary surgery : VS    September 10, 2018   Volume 47, Issue 7 932-941 doi: 10.1111/vsu.12938
Aldrich E, Nout-Lomas Y, Seim HB, Easley JT.To evaluate safety and efficacy of a novel technique for cervical stabilization. Methods: In vivo experimental. Methods: Four normal adult quarterhorse crossbreed horses (2-4 years of age, > 250 kg). Methods: One mid-cervical spinal unit (C3-C4) was distracted with a porous metal interbody fusion device (IFD) and stabilized with a polyaxial pedicle screw and rod construct. Neurologic examinations were performed preoperatively and postoperatively. Radiographs of the fusion site and adjoining vertebrae were obtained preoperatively and monthly. Horses were euthanized at 8 months and spin...
Equine degenerative myeloencephalopathy: prevalence, impact, and management.
Veterinary medicine (Auckland, N.Z.)    September 7, 2018   Volume 9 63-67 doi: 10.2147/VMRR.S148542
Burns EN, Finno CJ.Equine neuroaxonal dystrophy/equine degenerative myeloencephalopathy is an inherited neurodegenerative disorder affecting many horse breeds. Clinical signs include a symmetric ataxia and an abnormal stance at rest, similar to cervical vertebral compressive myelopathy, equine protozoal myeloencephalitis, and equine herpesvirus 1 myeloencephalopathy. This review will provide an update on the disease prevalence, management, impact, and ongoing research.
Detection and genotyping of equid herpesvirus 1 in Uruguay.
Revue scientifique et technique (International Office of Epizootics)    August 31, 2018   Volume 36, Issue 3 799-806 doi: 10.20506/rst.36.3.2715
Castro ER, Arbiza J.Infection with equid alphaherpesvirus 1 (EHV-1) causes respiratory disease, abortion and neurological disorders in horses. Molecular epidemiology studies have demonstrated that a single nucleotide polymorphism (A2254/G2254) in the genome region of open reading frame 30 which results in an amino acid variation (N752/D752) of the EHV-1 DNA polymerase, is significantly associated with the neuropathogenic potential of naturally occurring strains. In recent years, an increase in the number of cases of equine neurological disease caused by neuropathogenic variants of EHV-1 has been observed in numer...
Metaphyeal and Diaphyseal Dysplasia of the Third Cervical Vertebra Secondary to Physeal Necrosis in a Quarter Horse Foal.
Journal of comparative pathology    August 23, 2018   Volume 163 38-41 doi: 10.1016/j.jcpa.2018.07.001
Yang C, Weisbrode S, Yardley J, Schroeder E, Premanandan C.Ischaemia-induced physeal injury has not been described previously in the horse. A 1-month-old Quarter horse foal was submitted for necropsy examination due to an acute onset of ataxia followed by a 4-week history of progressive decline. Focal narrowing of the spinal canal due to ventral compression by the rotation of the cranial aspect of the third cervical vertebra (C3) was observed. The metaphysis and diaphysis of C3 were markedly shortened and white-tan in colour. Microscopically, there was complete loss of the dorsal compact bone of C3 and replacement of 80% of the physis that runs parall...
Lipid peroxidation biomarkers for evaluating oxidative stress in equine neuroaxonal dystrophy.
Journal of veterinary internal medicine    August 22, 2018   Volume 32, Issue 5 1740-1747 doi: 10.1111/jvim.15241
Finno CJ, Estell KE, Winfield L, Katzman S, Bordbari MH, Burns EN, Miller AD, Puschner B, Tran CK, Xu L.Equine neuroaxonal dystrophy/equine degenerative myeloencephalopathy (eNAD/EDM) is a neurodegenerative disorder affecting genetically predisposed foals maintained on an α-tocopherol (α-TOH) deficient diet. Currently no antemortem diagnostic test for eNAD/EDM is available. Objective: Because α-TOH deficiency is associated with increased lipid peroxidation, it was hypothesized that F2 -isoprostanes (F2 IsoP), F4 -neuroprostanes (F4 NP) and oxysterols derived from free radical oxidation would be increased in the cerebrospinal fluid (CSF) and neural tissue of eNAD/EDM affected horses and could ...
Presumed Neuroglycopenia Caused by Severe Hypoglycemia in Horses.
Journal of veterinary internal medicine    August 7, 2018   Volume 32, Issue 5 1731-1739 doi: 10.1111/jvim.15245
Aleman M, Costa LRR, Crowe C, Kass PH.Neuroglycopenia refers to a shortage of glucose in the brain resulting in neuronal dysfunction and death if left untreated. Presumed neuroglycopenia has not been described in horses. Objective: To report neurological signs in horses with presumed neuroglycopenia as the result of severe hypoglycemia. Methods: Ninety horses (hours to 28 years of age) diagnosed with hypoglycemia (blood glucose concentration < 75 mg/dL [< 4.2 mmol/L]). Methods: Retrospective study. Electronic medical records were searched. Signalment, history, complaint, clinical signs, laboratory findings including CSF analysis, ...
Fifty years of recurring struggles with recurrent laryngeal neuropathy.
Equine veterinary journal    July 21, 2018   Volume 50, Issue 6 870 doi: 10.1111/evj.12981
Cook WR.No abstract available
Neurologic Conditions Affecting the Equine Athlete.
The Veterinary clinics of North America. Equine practice    July 17, 2018   Volume 34, Issue 2 277-297 doi: 10.1016/j.cveq.2018.04.006
Bedenice D, Johnson AL.EPM, CVSM, and EDM are currently recognized as the 3 most common neurologic diseases in US horses, with the latter 2 conditions being most prevalent in young animals. Moreover, horses competing at shows and performance events are at greater risk for exposure to highly contagious, neurologic EHV-1 outbreaks. A clinical diagnosis of any neurologic disease should be based on a careful history, complete neurologic examination, and appropriate diagnostic testing and interpretation. However, mild or early neurologic signs can often mimic or be mistaken for an orthopedic condition when horses present...
Borreliosis in Sport Horse Practice.
The Veterinary clinics of North America. Equine practice    July 17, 2018   Volume 34, Issue 2 313-343 doi: 10.1016/j.cveq.2018.04.011
Swinebroad EL.Given the variable clinical signs attributed to Borrelia burgdorferi, including infectious arthritis, neurologic disease, and behavioral changes, B burgdorferi is an important differential for decreased performance in sport horses. The primary vectors (Ixodes tick species) are expanding their range and thus Borrelia species are located in a wider area, making exposure more likely. Due to regionally high seroprevalence and vague clinical signs, diagnosis of Lyme disease in the horse is believed overestimated. Antibiotics are first-line treatment of confirmed Lyme disease. A single positive sero...
Current dorsal myelographic column and dural diameter reduction rules do not apply at the cervicothoracic junction in horses. Estell K, Spriet M, Phillips KL, Aleman M, Finno CJ.Previously published myelographic studies do not report findings at the junction between the seventh cervical (C7) and first thoracic vertebrae (T1). Modern digital radiographic equipment allows improved visualization of C7-T1. Based on clinical experience, we hypothesized that 50% reduction of the dorsal myelographic column or 20% reduction of the dural diameter, criteria commonly used as a supportive finding for spinal cord compression in the cervical vertebral column, do not apply at C7-T1. A myelographic study was performed on 12 healthy, neurologically normal horses. Our hypothesis was co...
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 (nâ€...
Human and Equine Infection with Alphaviruses and Flaviviruses in Panamá during 2010: A Cross-Sectional Study of Household Contacts during an Encephalitis Outbreak.
The American journal of tropical medicine and hygiene    May 3, 2018   Volume 98, Issue 6 1798-1804 doi: 10.4269/ajtmh.17-0679
Carrera JP, Bagamian KH, Travassos da Rosa AP, Wang E, Beltran D, Gundaker ND, Armien B, Arroyo G, Sosa N, Pascale JM, Valderrama A, Tesh RB....Members of the genera (family ) and (family ) are important zoonotic human and equine etiologic agents of neurologic diseases in the New World. In 2010, an outbreak of Madariaga virus (MADV; formerly eastern equine encephalitis virus) and Venezuelan equine encephalitis virus (VEEV) infections was reported in eastern Panamá. We further characterized the epidemiology of the outbreak by studying household contacts of confirmed human cases and of equine cases with neurological disease signs. Serum samples were screened using a hemagglutination inhibition test, and human results were confirmed u...
Pathological classification of equine recurrent laryngeal neuropathy.
Journal of veterinary internal medicine    April 24, 2018   Volume 32, Issue 4 1397-1409 doi: 10.1111/jvim.15142
Draper ACE, Piercy RJ.Recurrent Laryngeal Neuropathy (RLN) is a highly prevalent and predominantly left-sided, degenerative disorder of the recurrent laryngeal nerves (RLn) of tall horses, that causes inspiratory stridor at exercise because of intrinsic laryngeal muscle paresis. The associated laryngeal dysfunction and exercise intolerance in athletic horses commonly leads to surgical intervention, retirement or euthanasia with associated financial and welfare implications. Despite speculation, there is a lack of consensus and conflicting evidence supporting the primary classification of RLN, as either a distal ("d...
Cortical Neurons Derived from Equine Induced Pluripotent Stem Cells Are Susceptible to Neurotropic Flavivirus Infection and Replication: An In Vitro Model for Equine Neuropathic Diseases.
Stem cells and development    April 16, 2018   Volume 27, Issue 10 704-715 doi: 10.1089/scd.2017.0106
Fortuna PRJ, Bielefeldt-Ohmann H, Ovchinnikov DA, Wolvetang EJ, Whitworth DJ.Horses are susceptible to a number of neurotropic viruses, including West Nile virus (WNV), which is a pathogen of global significance in both horses and humans. However, there are no in vitro models with which to study infectious neuropathic diseases in the horse. In an effort to redress this, we have generated neurons from equine induced pluripotent stem cells (equiPSCs) that express a range of cortical neuron-specific markers, in addition to the membrane-bound ligand ephrin B3, which plays an important role in axon guidance as well as functioning as the receptor through which henipaviruses,...
Safety and tracking of intrathecal allogeneic mesenchymal stem cell transplantation in healthy and diseased horses.
Stem cell research & therapy    April 10, 2018   Volume 9, Issue 1 96 doi: 10.1186/s13287-018-0849-6
It is currently unknown if the intrathecal administration of a high dose of allogeneic mesenchymal stem cells (MSCs) is safe, how MSCs migrate throughout the vertebral canal after intrathecal administration, and whether MSCs are able to home to a site of injury. The aims of the study were: 1) to evaluate the safety of intrathecal injection of 100 million allogeneic adipose-derived MSCs (ASCs); 2) to assess the distribution of ASCs after atlanto-occipital (AO) and lumbosacral (LS) injection in healthy horses; and 3) to determine if ASCs homed to the site of injury in neurologically diseased hor...
Protozoal coinfection in horses with equine protozoal myeloencephalitis in the eastern United States.
Journal of veterinary internal medicine    April 10, 2018   Volume 32, Issue 3 1210-1214 doi: 10.1111/jvim.15127
Schale S, Howe D, Yeargan M, Morrow JK, Graves A, Johnson AL.Infection by 2 or more protozoa is linked with increased severity of disease in marine mammals with protozoan encephalitis. Objective: To assess whether horses with equine protozoal myeloencephalitis (EPM) caused by Sarcocystis neurona also have evidence of infection with Neospora hughesi or Toxoplasma gondii. We hypothesized that horses with EPM would be more likely than horses with cervical vertebral stenotic myelopathy (CVSM) to be positive for antibodies to multiple protozoan parasites. Methods: One hundred one horses with neurologic disease: 49 with EPM and 52 with CVSM. Methods: Case rev...
Syringomyelia in an Adult American Paint Horse.
Veterinary sciences    April 5, 2018   Volume 5, Issue 2 39 doi: 10.3390/vetsci5020039
Kurz JP, Schoenhals KE, Hullinger GA, Van Wettere AJ.Syringomyelia is a form of myelodysplasia defined by the formation of one or more fluid-filled cavities within the spinal cord that do not communicate with the central canal. The defect may be congenital or acquired. Clinical signs correlate to the segment of spinal cord affected and include pain, paresis, proprioceptive deficits, alterations in sensation, scoliosis, and autonomic dysfunction. This report describes the clinical and pathologic changes in a case of acquired syringomyelia in a 10-year-old American Paint Horse mare. The horse had a six-week history of progressive proprioceptive de...
Histologic characterization of eosinophilic encephalitis in horses in Florida. Zoll WM, Prakoso D, Dark M, Liu J, Stockdale-Walden H, Long MT.Eosinophils within the central nervous system are abnormal and are usually associated with fungal or parasitic infections in horses. Causative agents include Halicephalobus gingivalis, Sarcocystis neurona, and Neospora hughesi. Confirmation of these organisms via specific testing is typically not performed, and final diagnoses are often presumptive. With molecular technology, many of these organisms can now be confirmed. This is important for emerging and zoonotic pathogens, including Angiostrongylus cantonensis, an emerging parasite of interest in the southeastern United States. We retrospect...
Molecular Genetic Manipulation of Sarcocystis neurona.
Current protocols in microbiology    February 22, 2018   Volume 48 20D.2.1-20D.2.14 doi: 10.1002/cpmc.48
Howe DK, Yeargan M, Simpson L, Dangoudoubiyam S.Sarcocystis neurona is a member of the important phylum Apicomplexa and the primary cause of equine protozoal myeloencephalitis (EPM). Moreover, S. neurona is the best-studied species in the genus Sarcocystis, one of the most successful parasite taxa, as virtually all vertebrate animals may be infected by at least one species. Consequently, scientific investigation of S. neurona will aid in the control of EPM and neurologic disease in sea mammals, while also improving our understanding of a prominent branch on the apicomplexan phylogenetic tree. These protocols describe methods that expand the...
Cerebrospinal fluid Lyme multiplex assay results are not diagnostic in horses with neuroborreliosis.
Journal of veterinary internal medicine    February 20, 2018   Volume 32, Issue 2 832-838 doi: 10.1111/jvim.15067
Johnson AL, Johnstone LK, Stefanovski D.The accuracy of the Lyme multiplex assay for the diagnosis of neuroborreliosis in horses is unknown. Objective: To describe Lyme multiplex results in horses with a postmortem diagnosis of neuroborreliosis. The hypothesis was that paired serum and cerebrospinal fluid (CSF) results and a CSF : serum ratio would allow differentiation of horses with neuroborreliosis from those with other neurologic diseases. Methods: Ninety horses that had neurologic examinations, serum and CSF Lyme multiplex analyses, and postmortem examination of the nervous system performed. Methods: Retrospective study. Data...
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...
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