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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.
Histological and ultrastructural evidence that recurrent laryngeal neuropathy is a bilateral mononeuropathy limited to recurrent laryngeal nerves.
Equine veterinary journal    January 24, 2009   Volume 40, Issue 7 666-672 doi: 10.2746/042516408x335711
Hahn CN, Matiasek K, Dixon PM, Molony V, Rodenacker K, Mayhew IG.Recurrent laryngeal neuropathy (RLN) is a common and debilitating peripheral nerve disease of horses, but it remains unclear if this disease is a mono- or polyneuropathy. An understanding of the distribution of the neuropathological lesions in RLN affected horses is fundamental to studying the aetiology of this very significant disease of tall horses. Objective: To determine whether RLN should be classified as a mono- or polyneuropathy. Methods: Multiple long peripheral nerves and their innervated muscles were examined systematically in 3 clinically affected RLN horses Results: Severe lesions ...
Equine herpesvirus myeloencephalopathy: unravelling the enigma.
Veterinary journal (London, England : 1997)    January 13, 2009   Volume 180, Issue 3 271-272 doi: 10.1016/j.tvjl.2008.12.002
Nugent J, Paillot R.No abstract available
Hypoxic/ischemic encephalopathy associated with placental insufficiency in a cloned foal.
Veterinary pathology    December 30, 2008   Volume 46, Issue 1 75-79 doi: 10.1354/vp.46-1-75
Wilcox AL, Calise DV, Chapman SE, Edwards JF, Storts RW.Hypoxic/ischemic encephalopathy in a cloned American Quarter horse foal was initially associated with placental insufficiency and exacerbated by protracted hypotension during anesthesia for a surgical procedure. The foal, born at the Texas A&M Veterinary Medical Center, was diagnosed at birth with neonatal maladjustment syndrome that was accompanied by dysmaturity, muscle contracture of the front limbs, and a blood clot within the lumen of the urinary bladder. Seizures that developed after anesthesia were attributed to hypoxia/ischemia during anesthesia and culminated in death. Macroscopically...
Blindness, optic atrophy and sinusitis in the horse.
Veterinary ophthalmology    December 17, 2008   Volume 11 Suppl 1 20-26 doi: 10.1111/j.1463-5224.2008.00642.x
Barnett KC, Blunden AS, Dyson SJ, Whitwell KE, Carson D, Murray R.The case histories described each presented with a visual deficit, varying from permanent total blindness with ophthalmoscopic evidence of optic atrophy to variable and transient visual disturbances, including occasional blindness, but with absence of ophthalmoscopic or any other ocular abnormality. Methods: Three horses of widely different age and type, but all with an original history of upper respiratory tract infection. Methods: All three cases were examined by a specialist veterinary ophthalmologist. In addition, magnetic resonance imaging (MRI) and, where possible, postmortem and histopa...
Keratoconjunctivitis sicca attributable to parasympathetic facial nerve dysfunction associated with hypothyroidism in a horse.
Journal of the American Veterinary Medical Association    December 3, 2008   Volume 233, Issue 11 1761-1766 doi: 10.2460/javma.233.11.1761
Schwarz BC, Sallmutter T, Nell B.A 6-year-old 680-kg (1,496-lb) German Warmblood gelding was evaluated because of bilateral blepharospasm and head shaking. Results: Moderate blepharospasm was evident bilaterally, and both eyes had hyperemic and edematous conjunctivas and lusterless corneas. For each eye, the Schirmer tear test value was only 7 mm/min. The horse's nasal mucosa was dry. Abnormal behaviors included mild repetitive vertical movement of the head, snorting, and flehmen response (classic signs of head shaking). Touching the horse's nostrils and face revealed paresthesia and dysesthesia with slight nasolabial muscle ...
Risk factors for development of neurologic disease after experimental exposure to equine herpesvirus-1 in horses.
American journal of veterinary research    December 3, 2008   Volume 69, Issue 12 1595-1600 doi: 10.2460/ajvr.69.12.1595
Allen GP.To identify risk factors associated with development of clinical neurologic signs in horses exposed to equine herpesvirus-1 (EHV-1). Methods: 36 adult horses. Methods: Blood samples collected before and after challenge inoculation with nonneuropathogenic or neuropathogenic EHV-1 were analyzed for leukocyte-associated viremia, serum neutralizing antibody, and EHV-1-specific cytotoxic T-lymphocyte precursors (CTLPs). Associations between variables and neurologic disease and correlations between age category or breed and development of neurologic disease were examined. Results: 9 horses developed...
The role of dietary antioxidant insufficiency on the permeability of the blood-brain barrier.
Journal of neuropathology and experimental neurology    November 20, 2008   Volume 67, Issue 12 1187-1193 doi: 10.1097/NEN.0b013e31818f8f51
Mohammed HO, Starkey SR, Stipetic K, Divers TJ, Summers BA, de Lahunta A.Our previous studies implicated vitamin E deficiency as a risk factor for equine motor neuron disease, a possible model of human amyotrophic lateral sclerosis, and showed direct effects of this deficiency on brain vascular endothelium. To gain better understanding of the pathogenesis of equine motor neuron disease, we determined the effects of dietary antioxidant insufficiency and the resultant brain tissue oxidative stress on blood-brain barrier permeability. Rats (n = 40) were maintained on a diet deficient of vitamin E for 36 to 43 weeks; 40 controls were fed a normal diet. Permeability of ...
Herpesvirus-associated neurological disease in a donkey. Vengust M, Wen X, Bienzle D.A 4-year-old donkey was evaluated for progressive neurological abnormalities consisting of depression, stupor, weakness, and recumbency. Diagnostic evaluation for viral involvement identified an asinine herpesvirus in DNA extracted from deep pharyngeal swabs. Specific primers were designed based on comparison with equine herpesviral DNA polymerase sequences and yielded an 875-base pair product from the donkey. This sequence had complete identity with short sequences of asinine herpesvirus previously identified in donkeys with interstitial pneumonia. Amino acid analysis of the entire sequence i...
Associations of sex, breed, and age with cervical vertebral compressive myelopathy in horses: 811 cases (1974-2007).
Journal of the American Veterinary Medical Association    November 5, 2008   Volume 233, Issue 9 1453-1458 doi: 10.2460/javma.233.9.1453
Levine JM, Ngheim PP, Levine GJ, Cohen ND.To determine sex, breed, and age distributions in a population of horses with cervical vertebral compressive myelopathy (CVCM), compared with contemporaneous control horses. Methods: Retrospective case-control study. Methods: 811 horses with CVCM and 805 control horses. Methods: The Veterinary Medical Database was searched to identify horses with CVCM and contemporaneous control horses registered between July 1974 and August 2007. Admission date, admitting institution, sex, breed, age at the time of registration in the database, weight, and discharge status (alive, died, or euthanized) were re...
Horses experimentally infected with Sarcocystis neurona develop altered immune responses in vitro.
The Journal of parasitology    November 1, 2008   Volume 94, Issue 5 1047-1054 doi: 10.1645/GE-1441.1
Witonsky SG, Ellison S, Yang J, Gogal RM, Lawler H, Suzuki Y, Sriranganathan N, Andrews F, Ward D, Lindsay DS.Equine protozoal myeloencephalitis (EPM) due to Sarcocystis neurona infection is 1 of the most common neurologic diseases in horses in the United States. The mechanisms by which most horses resist disease, as well as the possible mechanisms by which the immune system may be suppressed in horses that develop EPM, are not known. Therefore, the objectives of this study were to determine whether horses experimentally infected with S. neurona developed suppressed immune responses. Thirteen horses that were negative for S. neurona antibodies in serum and cerebrospinal fluid (CSF) were randomly assig...
Lymphoproliferative disease with features of lymphoma in the central nervous system of a horse.
Journal of comparative pathology    September 27, 2008   Volume 139, Issue 4 256-261 doi: 10.1016/j.jcpa.2008.07.008
Morrison LR, Freel K, Henderson I, Hahn C, Smith SH.Lymphoma (malignant lymphoma, lymphosarcoma) is uncommon in horses in the United Kingdom. This report describes an unusual form of lymphoproliferative disease with features of lymphoma restricted to the central nervous system (CNS) and with no evidence of a primary lesion elsewhere. Immunohistochemical examination defined an overwhelming predominance of T lymphocytes with admixed B lymphocytes and activated macrophages. This case exemplifies the challenges associated with definitive diagnosis of lymphoproliferative disease of the equine CNS.
Astrocytic and microglial response and histopathological changes in the brain of horses with experimental chronic Trypanosoma evansi infection.
Revista do Instituto de Medicina Tropical de Sao Paulo    September 25, 2008   Volume 50, Issue 4 243-249 doi: 10.1590/s0036-46652008000400011
Lemos KR, Marques LC, Aquino LP, Alessi AC, Zacarias RZ.This study aimed to characterize astrocytic and microglial response in the central nervous system (CNS) of equines experimentally infected with T. evansi. The experimental group comprised males and females with various degrees of crossbreeding, ages between four and seven years. The animals were inoculated intravenously with 10(6) trypomastigotes of T. evansi originally isolated from a naturally infected dog. All equines inoculated with T. evansi were observed until they presented symptoms of CNS disturbance, characterized by motor incoordination of the pelvic limbs, which occurred 67 days aft...
Computed tomography-guided brain biopsy for in vivo diagnosis of a cholesterinic granuloma in a horse.
Journal of the American Veterinary Medical Association    September 18, 2008   Volume 233, Issue 6 950-954 doi: 10.2460/javma.233.6.950
Vanschandevijl K, Gielen I, Nollet H, Vlaminck L, Deprez P, van Bree H.An 8-year-old warmblood mare was evaluated following an acute onset of neurologic abnormalities. Results: Computed tomography of the head revealed large masses in both lateral ventricles, and a presumptive diagnosis of cholesterinic granuloma was made. Results: Freehand biopsy of the intracranial masses was performed under computed tomographic guidance, and histologic examination of biopsy specimens confirmed the diagnosis. No adverse effects associated with the brain biopsy procedure were encountered. Clinical signs resolved, and long-term follow-up did not reveal any recurrence of neurologic...
Acute lead intoxication in a pregnant mare.
Journal of the South African Veterinary Association    August 6, 2008   Volume 79, Issue 1 50-53 doi: 10.4102/jsava.v79i1.242
Kruger K, Saulez MN, Neser JA, Solberg K.Lead (Pb) intoxication in horses is usually a chronic phenomenon with clinical signs associated with central nervous dysfunction. This report gives details of a case of acute Pb intoxication in a 9-year-old American Saddlebred mare with severe, progressive and ultimately fatal neurological deterioration. During the 4 days of hospitalisation, clinical signs progressed from intermittent headshaking and depression to severe, continuous, uncontrollable manic behaviour. At autopsy, three grey-coloured, hard metal particles were present in the gastrointestinal tract and subsequently found to contain...
Brainstem auditory-evoked responses in horses with temporohyoid osteoarthropathy.
Journal of veterinary internal medicine    August 4, 2008   Volume 22, Issue 5 1196-1202 doi: 10.1111/j.1939-1676.2008.0158.x
Aleman M, Puchalski SM, Williams DC, Kass PH, Holliday TA.Facial and vestibulocochlear nerve dysfunction occurs commonly in horses with temporohyoid osteoarthropathy (THO); however, auditory dysfunction has not been thoroughly assessed. Objective: To determine if auditory abnormalities occur in horses with THO. Methods: Eleven diseased and 8 control horses. Methods: This is a prospective study in which brainstem auditory-evoked responses (BAER) were recorded in 11 horses diagnosed with THO through neurologic, endoscopic, radiographic, or computed tomographic examinations. BAER findings were compared with those recorded from 8 adult control horses. Re...
North American encephalitic arboviruses.
Neurologic clinics    July 29, 2008   Volume 26, Issue 3 727-ix doi: 10.1016/j.ncl.2008.03.012
Davis LE, Beckham JD, Tyler KL.Arboviruses continue to be a major cause of encephalitis in North America, and West Nile virus neuroinvasive disease is now the dominant cause of encephalitis. Transmission to humans of North American arboviruses occurs by infected mosquitoes or ticks. Most infections are asymptomatic or produce a flulike illness. Rapid serum or cerebrospinal fluid IgM antibody capture ELISA assays are available to diagnosis the acute infection for all North American arboviruses. Unfortunately, no antiviral drugs are approved for the treatment of arbovirus infection and current therapy is supportive.
Detection of EHV-1 neuropathogenic strains using real-time PCR in the neural tissue of horses with myeloencephalopathy.
The Veterinary record    May 27, 2008   Volume 162, Issue 21 688-690 doi: 10.1136/vr.162.21.688
Leutenegger CM, Madigan JE, Mapes S, Thao M, Estrada M, Pusterla N.No abstract available
Conservative treatment of a comminuted cervical fracture in a racehorse.
Irish veterinary journal    April 1, 2008   Volume 61, Issue 4 244-247 doi: 10.1186/2046-0481-61-4-244
Vos Nj.The 'classical' or 'Hangman' neck fracture involves the odontoid peg (process) of the second cervical vertebra (C2), and is described as an axial, dens or odontoid peg fracture in both the veterinary and human literature. Possible surgical treatment in both foals and adult horses requires a technique that allows decompression, anatomical alignment and stabilisation of the odontoid fracture. A limited number of surgical cases in foals have been reported in literature, but never in an adult horse. A mature Irish Thoroughbred racehorse was diagnosed with a type 2a odontoid peg fracture. Clinical ...
Immunohistochemical characterization of mononuclear cells and MHC II expression in the brain of horses with experimental chronic Trypanosoma evansi infection. Lemos KR, Marques LC, Deaquino LP, Alessi AC, Machado RZ.An histochemical and immunohistochemical study was carried out to evaluate the mechanisms of immune response of horses experimentally infected by Trypanosoma evansi. For this purpose the HE histochemical stain and the avidin biotin peroxidase method were used. To determine the presence and immunoreactivity of immune cells we used anti-major histocompatibility complex II antibodies. Cellular infiltration phenotype was characterized with the aid of anti-CD3 antibody for T lymphocytes and by anti-BLA 36 antibodies for B lymphocytes. Macrophages were marked with an antibody against myeloid/histyoc...
Stereological characteristics of the equine accessory nerve.
Anatomia, histologia, embryologia    March 10, 2008   Volume 37, Issue 3 205-213 doi: 10.1111/j.1439-0264.2007.00830.x
Matiasek K, Gais P, Rodenacker K, Jütting U, Tanck JJ, Schmahl W.Stereological techniques have been increasingly employed for assessment and characterization of neuromuscular diseases in humans and animals. As an adjunct to histopathology, morphometrical algorithms provide quantitative evidence of the peripheral nerve composition, thereby shedding light on its fibre characteristics and basic electrophysiological properties. In the horse, stereological investigations already have focussed on the recurrent laryngeal, deep peroneal and lateral palmar nerves (LPN). Of these, only the latter is suitable for taking biopsies in clinical settings, however, it does ...
Effect of intermittent oral administration of ponazuril on experimental Sarcocystis neurona infection of horses.
American journal of veterinary research    March 4, 2008   Volume 69, Issue 3 396-402 doi: 10.2460/ajvr.69.3.396
Mackay RJ, Tanhauser ST, Gillis KD, Mayhew IG, Kennedy TJ.To evaluate the effect of intermittent oral administration of ponazuril on immunoconversion against Sarcocystis neurona in horses inoculated intragastrically with S neurona sporocysts. Methods: 20 healthy horses that were seronegative for S neurona-specific IgG. Methods: 5 control horses were neither inoculated with sporocysts nor treated. Other horses (5 horses/group) each received 612,500 S neurona sporocysts via nasogastric tube (day 0) and were not treated or were administered ponazuril (20 mg/kg, PO) every 7 days (beginning on day 5) or every 14 days (beginning on day 12) for 12 weeks. Bl...
Polyneuritis equi: the role of T-lymphocytes and importance of differential clinical signs.
Equine veterinary journal    February 28, 2008   Volume 40, Issue 2 100 doi: 10.2746/042516408X276924
Hahn CN.No abstract available
Equine herpesvirus neurological disease.
Equine veterinary journal    February 28, 2008   Volume 40, Issue 2 102-103 doi: 10.2746/10.2746/042516408X284457
Gilkerson JR, Barrett EJ.No abstract available
Polyneuropathy associated with forage sources in Norwegian horses.
Journal of veterinary internal medicine    February 22, 2008   Volume 22, Issue 1 178-184 doi: 10.1111/j.1939-1676.2008.0023.x
Hanche-Olsen S, Teige J, Skaar I, Ihler CF.Cases of hindlimb digital extensor weakness of unknown etiology have been observed in Norway since 1995. Objective: We hypothesized that the observed bilateral extensor weakness was attributable to neuropathy of the distal nerves and that this was related to environmental factors, possibly dietary. Methods: Seventy-five horses with digital extensor weakness occurring from 1995 to 2004 are described. Methods: Eleven horses were examined at The Norwegian School of Veterinary Science, and the medical records of 64 horses seen in ambulatory practice were reviewed. Results: There was no apparent se...
What is your neurologic diagnosis? Equine protozoal myeloencephalitis.
Journal of the American Veterinary Medical Association    February 16, 2008   Volume 232, Issue 2 201-204 doi: 10.2460/javma.232.2.201
Javsicas LH, Watson E, MacKay RJ.No abstract available
The composition of the inflammatory infiltrate in three cases of polyneuritis equi.
Equine veterinary journal    February 13, 2008   Volume 40, Issue 2 185-188 doi: 10.2746/042516408X276933
van Galen G, Cassart D, Sandersen C, Delguste C, Nollet H, Amory H, Ducatelle R.Polyneuritis equi (PNE) is a rare neurological disease in the horse. Because of the suspicion in PNE of a T-lymphocyte mediated immune response against the myelin, the objective of this study was to determine the composition of the inflammatory infiltrate in the involved nerves of 3 horses with PNE, studied retrospectively. T-lymphocytes were demonstrated in the lesions, which suggests a T-lymphocyte mediated immune response against myelin. In addition, the presence of B-lymphocytes indicated a local production of antibodies. More research, involving a prospective study, is needed to determine...
Assessment of the utility of using intra- and intervertebral minimum sagittal diameter ratios in the diagnosis of cervical vertebral malformation in horses. Hahn CN, Handel I, Green SL, Bronsvoort MB, Mayhew IG.Cervical vertebral malformation is one of the most common causes of ataxia in horses. The most important factor in the diagnosis of cervical vertebral malformation is the identification of cervical vertebral canal stenosis, but published data for minimum sagittal diameter ratios in adult horses are only available for C4-C7 intravertebral sites. Intra- and intervertebral sagittal diameter ratios at C2-C7 were evaluated in 26 ataxic horses, for which a complete clinical and neuropathological evaluation was undertaken. Eight of these horses were diagnosed with cervical vertebral malformation. In ...
Equine protozoal myeloencephalitis associated with neosporosis in 3 horses.
Journal of veterinary internal medicine    January 17, 2008   Volume 21, Issue 6 1405-1408 doi: 10.1892/07-054.1
Finno CJ, Aleman M, Pusterla N.No abstract available
Ventral meningomyelocele in a German warmblood foal.
DTW. Deutsche tierarztliche Wochenschrift    January 10, 2008   Volume 114, Issue 12 470-472 
Jacobsen B, Venner M, Gerdwilker A, Wohlsein P.A ventral meningomyelocele was found in a five week old, male German warmblood foal which exhibited central nervous symptoms. This rare malformation in horses may be caused by absent or defective fusion of vertebral bodies leading to herniation of the spinal cord and meninges with subsequent degenerative alterations of the spinal cord.
Benign peripheral nerve sheath tumor of the perianal region in a young pony. Sturgeon BP, Milne EM, Smith KC.A 20 x 10 cm, lobulated mass was present in the perianal region of a 4-year-old Dales pony. Histopathology revealed an unencapsulated, loose arrangement of sheets and whorls of narrow mesenchymal cells, situated in the deep dermis. Intervening areas had a myxomatous appearance. The whorls were often arranged around a central structure resembling an axon or a vascular structure. Immunohistochemistry revealed that the elongated mesenchymal cells and central axon-like structures expressed vimentin, S-100, and neuron-specific enolase, but not pancytokeratin, glial fibrillary acid protein, and the ...
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