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Topic:Neurology
Neurology in horses encompasses the study of the equine nervous system, including its structure, function, and associated disorders. The equine nervous system is divided into the central nervous system (CNS), consisting of the brain and spinal cord, and the peripheral nervous system (PNS), which includes nerves extending throughout the body. Neurological conditions in horses can manifest as gait abnormalities, behavioral changes, or sensory deficits. Common neurological disorders include equine protozoal myeloencephalitis (EPM), cervical vertebral stenotic myelopathy (CVSM), and equine herpesvirus myeloencephalopathy (EHM). Diagnostic approaches may involve clinical evaluation, imaging techniques, and laboratory tests. This page compiles peer-reviewed research studies and scholarly articles that explore the anatomy, pathophysiology, diagnosis, and management of neurological disorders in horses.
Anatomical and computed tomographic study of equine cervical spinal nerves and intervertebral foramina. Osseous enlargement of the cervical articular process joints due to osteoarthropathy or developmental hypertrophy can narrow the intervertebral foramen (IF), resulting in compression and neuritis of the exiting spinal nerves. Associated clinical signs may include neck pain, forelimb lameness or muscle atrophy. Computed tomography (CT) is the gold standard for IF evaluation; however, to date, visualisation of the equine spinal nerves based on CT imaging is insufficient. Objective: To improve the diagnostic accuracy of foraminal stenosis and cervical spinal nerve (CSN) compression based on CT, t...
Pasture area increases livestock rabies risk in Rio de Janeiro, Brazil: a geospatial analysis of neurological syndrome cases (2020-2024). Animal rabies poses a risk to livestock in Brazil due to transmission by hematophagous bats. The Brazilian sanitary surveillance system mandates rabies testing for any livestock exhibiting signs of neurological syndrome. This geospatial, retrospective, longitudinal, observational study analyzed rabies test results for 204 cattle and 56 horses presenting with neurological syndrome in Rio de Janeiro State, Brazil, from 2020 to 2024. We calculated correlations and linear models between rabies results and municipal land-use types, as well the population of herbivores. Most neurological syndrome ca...
Detection of Shamonda Virus in Two Horses with Neurological Signs in Germany. Shamonda virus (SHAV), which has recently emerged in Central Europe and has caused disease in numerous cattle herds, was detected in brain tissue from two horses that showed clinical signs, including neurological disorder, and underwent pathological examination. The horses reportedly exhibited seizure-like episodes (Horse A) as well as fever and ataxia (Horse B). In both horses, severe lymphohistiocytic meningoencephalitis with hemorrhages was observed in various parts of the central nervous system (CNS), while outside the CNS no abnormalities were found. The virus genome could be detected by ...
[Atlantoaxial luxation in a neonatal Warmblood foal]. Atlantoaxial luxation represents a rare but clinically relevant differential diagnosis in neonatal foals presenting with neurological abnormalities or dysphagia. This case report describes a newborn filly without apparent ataxia, but presenting with a stiff head-neck posture and milky nasal discharge. Clinical examination revealed a compromised general condition and abnormal swelling in the region of the fossa retromandibularis. Radiographic examination confirmed the diagnosis of an atlantoaxial luxation. Due to the poor prognosis the foal was euthanized. This case highlights the diagnostic ap...
Biomarkers of brain injury in foals with neonatal maladjustment syndrome. Plasma concentrations of brain-derived neurotrophic factor (BDNF), glial-fibrillary-acidic protein (GFAP), and astrocytic protein S100B, might be linked to the pathophysiology of Neonatal Maladjustment Syndrome (NMS). Objective: To measure serum concentration of BDNF and S100B, plasma concentration of GFAP, and neurosteroids (progesterone and 17α-hydroxyprogesterone) in foals with NMS, foals presented for other diseases, including premature, and healthy foals, and determine their association with outcome. Methods: Fourteen healthy foals, 19 NMS foals, 39 foals hospitalized for other diseases ...
Modified technique for resection of the alar folds to nasal paralysis in a mule: Case report. Equids are obligate nasal breathers. Therefore, conditions that obstruct or impair this respiratory route can compromise animal welfare by causing severe respiratory distress, while also impacting athletic potential. Nasal paralysis results from injury to the facial nerve and its branches and is characterized by the lack of movement of the alar cartilage, leading to nasal collapse. Its occurrence is uncommon in horses and has not been previously reported in mules. This report describes a 9-month-old mule presented with a history of facial trauma and compression caused by a halter. After unsucc...
Diagnostic utility of trigeminocervical reflex and quantitative sensory testing in horses with trigeminal-mediated headshaking. Assessment of trigeminal nerve (TN) function in horses with trigeminal-mediated headshaking (TMHS) using trigeminocervical reflex (TCR) and quantitative sensory testing (QST) has not been investigated. Objective: Horses with TMHS show lower TCR and QST thresholds than controls. A subset shows left-to-right differences. Methods: Privately owned horses with TMHS (n = 12) and secondary headshaking (sHS; n = 4), from a referral hospital. Headshaking-free controls (n = 14), from the hospital's teaching herd or privately owned. Methods: Prospective case-control-study. In unsedated horses, TCR ...
Equine neuroborreliosis in Scandinavia: cerebrospinal fluid PCR confirmation and successful treatment in a mare. Lyme borreliosis (LB), caused by Borrelia burgdorferi sensu lato, is an emerging concern in human medicine, and is a controversial topic in equine medicine. Neuroborreliosis (NB), a neurologic manifestation of LB, remains challenging to diagnose due to nonspecific clinical signs and the lack of definitive diagnostic methods. This report describes the first documented case of equine NB in Scandinavia. Methods: An 11-year-old mare presented with progressive weight loss, ataxia, muscle atrophy, and hyperesthesia. Cerebrospinal fluid (CSF) analysis revealed neutrophilic pleocytosis, elevated prote...
Seizures and blindness onset zone in 7 horses undergoing radiographic myelography in lateral recumbency under inhalation anesthesia. Seizures and blindness are potential complications associated with myelography. Objective: Describe, classify, and determine onset zone of seizures and blindness in horses undergoing radiographic myelography in lateral recumbency. Methods: Seven young adult horses. Methods: Retrospective study. Horses with seizures or blindness associated with myelography were included. Results: Three horses with general proprioceptive ataxia and 4 neurologically normal horses (Warmblood = 4, Thoroughbred = 3), ages 9 (range, 3-16) years old. Iohexol (300 mg I/mL) from 50 to 60 mL (0.09-0.1 mL/kg) were ...
Magnesium Dysregulation. Magnesium (Mg) is a critical intracellular cation involved in energy metabolism, neuromuscular and cardiac stability, and endocrine regulation of calcium and potassium. In horses, Mg dysregulation is common in gastrointestinal disease, systemic inflammation and critical illness, yet often remains underdiagnosed. Hypomagnesemia contributes to ileus, cardiac arrhythmias, and refractory hypocalcemia or hypokalemia, whereas hypermagnesemia is rarely reported and typically iatrogenic. This review summarizes Mg physiology, regulation, clinical manifestations of Mg dysregulation, diagnostic approache...
A color-coded atlas of the cortical surface anatomy of the equine brain. The horse has a highly gyrencephalic cerebrum; however, detailed references of equine cortical surface anatomy remain limited, and terminology inconsistencies continue to complicate comparative, clinical, and educational applications. This research focused on creating a standardized, high-resolution, color-coded atlas of equine brain sulci and gyri, based on the Nomina Anatomica Veterinaria (NAV). Unassigned: Brains from ten neurologically normal horses were examined. Following fixation and dissection, the sulci and gyri of the lateral, dorsal, rostral, and medial surfaces were documented, col...
An experimental multiplex PCR/RT-PCR for detection of the main viruses associated with equine neurological disease. Viral neurological infections are important causes of morbidity and mortality in horses worldwide. Herein, we describe an end-point multiplex PCR/RT-PCR for simultaneous and differential detection of major equine encephalitis-related agents: rabies virus (RABV), equine herpesvirus type 1 (EHV-1), alphaviruses [Venezuelan equine encephalitis virus (VEEV), Eastern equine encephalitis virus (EEEV), Western equine encephalitis virus (WEEV) and Madariaga virus (MADV)] and flaviviruses [West Nile virus (WNV), Saint Louis encephalitis virus (SLEV), Rocio virus (ROCV) and Japanese encephalitis virus (...
Epidural 0.125% ropivacaine is safe but insufficient for induced tibiotarsal joint pain. Epidural injection of a low concentration of the local anaesthetic ropivacaine produces analgesia without neurological deficits or ileus in people. Objective: To determine if epidural 0.125% ropivacaine mitigates induced hindlimb lameness in horses while preserving neurological function and gastrointestinal (GI) motility. Methods: Randomised, blinded, controlled, crossover study. Methods: Eight healthy, sound horses underwent two treatments in random order, separated by at least 3 weeks: epidural saline or epidural ropivacaine. For each treatment, an epidural catheter was inserted at the fir...
Leptomeningeal dissemination of a poorly differentiated carcinoma involving the trigeminal ganglion in a horse: a case report. Neoplastic conditions involving cranial nerves are uncommon in horses and represent a significant diagnostic challenge. Leptomeningeal dissemination is a recognized mechanism of tumor progression in aggressive neoplasms but is rarely reported in this species. A 15-year-old mixed-breed horse with a history of periocular squamous cell carcinoma treated by enucleation three years earlier developed progressive neurological signs. Initial differential diagnoses included metastatic neoplasia and equine protozoal myeloencephalitis. Due to rapid neurological deterioration, euthanasia and necropsy were...
Eight Weeks of 448 kHz Radiofrequency Therapy Increases Multifidus Muscle Cross-Sectional Area and Modulates Thoracolumbar Range of Motion in Horses with Chronic Back Pain. We aimed to investigate the effects of an 8-week 448 kHz radiofrequency (RF) on multifidus cross-sectional area (CSA) and thoracolumbar differential range of motion (ROM). Eight Thoroughbred horseball horses received four RF treatments (T9-L6) at 2-week intervals. Multifidus CSA (T10-L5) and differential spinal ROM between the withers (W), T13, T18, L3 and sacrum (S) were measured before treatment, immediately after the first session, 24 h after the first session, and at 8 weeks (15 days after the last session). Linear mixed models with Tukey post hoc comparisons were used. Significant effects...
Hepatic encephalopathy associated with extensive hepatic diaphragmatic herniation in an adult horse. Diaphragmatic hernia in horses is a rare condition, most commonly presenting with signs of colic and, less frequently, respiratory compromise. Hepatic herniation through a diaphragmatic defect with secondary hepatic failure and encephalopathy has rarely been documented in horses. Methods: A 5-year-old Mangalarga Marchador stallion was evaluated for progressive neurological deterioration, including obtundation, head pressing, ataxia, and circling. Serum biochemistry revealed severe hepatobiliary dysfunction, characterised by increased gamma-glutamyl transferase and alkaline phosphatase activiti...
Central nervous system lymphoma and neurolymphomatosis in equids. Lymphoma affecting the central and peripheral nervous systems in equids is rarely reported. Objective: To describe the clinical presentation, neuroanatomical localization, laboratory and pathologic features, type of lymphoma, and outcome to further current knowledge. Methods: Fourteen equids (13 horses, 1 mule). Methods: Retrospective study. Medical records from a veterinary teaching hospital were reviewed (1993-2025). The inclusion criteria consisted of a definitive diagnosis of lymphoma of the nervous system. Data collected included signalment, neurologic findings, laboratory results, imagin...
Ceratohyoidectomy for Management of Unilateral and Bilateral Temporohyoid Osteoarthropathy: Long-Term Outcome in 33 Equids. Temporohyoid osteoarthropathy is a disease affecting the temporohyoid joint in equids caused by local inflammation and/or degeneration, leading to neurological deficits ranging from mild signs that affect performance to significant, acute neurological deficits such as facial nerve paralysis or vestibular signs. Multiple surgical treatment options are available, and while treatment has historically been performed unilaterally on the side of the clinical signs, advances in diagnostic imaging have highlighted the occurrence of bilateral disease of the temporohyoid joints, warranting evaluation of...
Improving concussion assessment in jockeys: normative benchmarks and web-based tool for ImPACT interpretation. Despite horse racing's exceptionally high concussion risk, there is no jockey-specific ImPACT study. This work aimed to develop demographically adjusted, jockey-specific ImPACT norms and to evaluate complementary approaches to clinical classification. Unassigned: Retrospective baseline data from 663 Irish jockeys (2021-2024) were analyzed. Two normative methods were applied: (i) a univariate regression-based approach estimating expected scores for each cognitive domain independently, adjusting for age, sex, and education, with percentile-based classification; and (ii) a multivariate regression...
Alphavirus madariaga-associated encephalomyelitis in equines from the Brazilian Pantanal reveals arbovirus circulation in a peri-urban environment. Alphavirus madariaga (MADV), a member of the eastern equine encephalitis virus complex, is an emerging arbovirus in South America, with limited information regarding its occurrence and molecular characterization in equine populations. This study reports the detection and genetic characterization of MADV in equines from the state of Mato Grosso, Brazil. Two horses presenting acute neurological disease with a clinical course of approximately two days were evaluated. Histopathological examination revealed nonsuppurative meningoencephalomyelitis. Molecular screening for neurotropic viruses using T...
Sensory-driven neck-limb coordination mechanisms for walk-trot-gallop gait transitions. Quadruped animals exhibit various gait patterns and switch from one to another depending on their speed. These gait patterns involve complex whole-body coordination and are mainly controlled by a distributed neural network consisting of central pattern generators (CPGs) and peripheral sensory feedback. However, how these neural networks generate various types of whole-body coordination remains unclear. Here, we focus on horse locomotion and present a neural network model that reproduces walk-trot-gallop transitions by changing only a single parameter related to speed. This model uses ground re...
Combined treatment with valacyclovir and heparin reduced the incidence of equine herpesvirus myeloencephalopathy and improved survival in naturally occurring equine herpesvirus-1 outbreaks. Describe the effects and outcomes of valacyclovir and heparin administration in equine herpesvirus-1 (EHV-1)-exposed horses. Unassigned: A multicenter retrospective study identified 111 horses naturally exposed to EHV-1 from August 2017 to March 2018. Equine herpesvirus-1 infection was confirmed via blood or nasal secretion PCR. Horses that developed neurologic signs were diagnosed with equine herpesvirus myeloencephalopathy (EHM). Clinical signs, treatment, and survival were reported. A subset of horses was treated with valacyclovir and heparin. Prophylactic medication administration was perf...
Neuroimmune Mechanisms in Equine Asthma: Primary Inflammatory Triggers, Neuroimmune Modulation and Chronic Airway Remodelling. Equine asthma is a chronic inflammatory disease of the lower respiratory tract, primarily associated with inhalation of organic dust, microbial particles and environmental aeroantigens. Although the inflammatory and immunological mechanisms underlying equine asthma have been extensively investigated, the potential contribution of neuroimmune pathways remains poorly understood. In humans and rodent models, asthma is increasingly recognised as a disorder involving complex bidirectional interactions between the nervous and immune systems. Sensory nerve activation, neuropeptide release, autonomic ...
Similar locomotor patterns across Quarter Horse disciplines inform lameness assessment. Lineage-based selection is central to the Quarter Horse industry and is often justified by the assumption that morphology determines locomotor function. However, objective evidence linking static conformation to discipline-specific locomotor behaviour under standardised conditions remains limited. Objective: To investigate whether morphological differences among Quarter Horse disciplines are associated with distinct locomotor patterns or whether locomotor function converges across disciplines despite morphological variation. Methods: Cross-sectional. Methods: Barrel racing, reining, and ranch ...
Machine learning-based gait classification and genome-wide association identify a QTL for gait type in Colombian paso horses. Coordinated mammalian locomotion relies on spinal circuits where regulates strides and alternative gaits. However, does not explain differences between the Colombian paso horse breed's specialized gaits, Colombian trocha and Colombian trot. We used inertial sensors and machine learning to develop accurate phenotyping ( = 225 horses), before performing genome-wide association analysis ( = 85 horses, 670K array). We identified a 2.43 Mb quantitative trait locus (QTL) on ECA16, where haplotypes featuring lead variants (rs1147402472, = 1.95 × 10; rs1136628503, = 8.52 × 10) explained 48.6% of...
Cervical spinal cord compression may affect anesthetic recovery quality and seizure incidence in horses after myelography. To compare anesthetic recovery quality and seizure incidence after cervical myelography in horses with or without cervical spinal cord compression. Unassigned: Anesthesia and medical records from January 2017 to December 2022 of horses anesthetized for myelography were retrieved. Patients with incomplete records, equine protozoal myeloencephalitis diagnosis, or an anesthetic protocol outside an established standard were excluded. Demographic analysis, ataxia score, and anesthetic management variables were recorded in an observational retrospective fashion. Each variable was compared between gr...
A non-trauma-focused equine-assisted intervention was associated with reductions in all four PTSD symptom clusters in treatment-resistant military veterans. Veterans are at greater risk of developing post-traumatic stress disorder (PTSD) and show a poorer response to first-line treatments than civilians. Although equine-assisted interventions (EAIs) represent a promising alternative for military veterans,the underlying mechanisms remain uncertain, and their effectiveness across different PTSD symptom clusters has yet to be established. This study examined the effects of a non-trauma-focused EAI on specific PTSD symptoms in treatment-resistant military veterans. Unassigned: Participants in the intervention were military veterans diagnosed with PTSD...
Cerebral arterial mapping in the equine brain: a detailed anatomical study. Detailed knowledge of the cerebral arterial system in equine brain is required for advancing neuroanatomical understanding and supporting the interpretation of neurological disorders. The equine cerebrum, characterized by extensive cortical organization and functional specialization, requires a continuous arterial blood supply; however, detailed information on its arterial anatomy remains limited. This study aimed to describe the arterial supply to the equine cerebrum, including the origin, branching patterns, and distribution of the major cerebral arteries. Unassigned: Ten adult horse heads w...
Effects of three equine-related training modalities on inhibitory control in children aged 7-8 years: an exploratory randomized controlled trial. Horseback riding training (HRT), horseback riding simulator training (HRST), and horse companion training (HCT) can improve physical fitness, cognitive abilities, and emotional well-being. However, their effects on inhibitory control (IC) are not well studied. Unassigned: This exploratory randomized controlled trial examined the effects of HRT, HRST, and HCT on IC in children aged 7-8 years and analyzed brain neural mechanisms using functional near-infrared spectroscopy (fNIRS). Twenty-four children aged 7-8 years from Maple Leaf International School-Xi'an were randomly divided into three grou...
Myofascial trigger points as a primary cause of equine lameness: a biomechanical, neurophysiological, and fascial review. Equine lameness diagnosis is dominated by a joint- and tendon-centric paradigm. The standard diagnostic algorithm relies on gait observation, perineural and intrasynovial anesthesia, and cross-sectional imaging. It is directed almost exclusively at skeletal and articular structures. Myofascial trigger points (MTrPs) are hypersensitive, hyperirritable loci within taut bands of skeletal muscle. They produce local and referred pain on compression or contraction. In horses, MTrPs are a clinically relevant but systematically overlooked source of primary lameness. This review synthesises evidence fr...
