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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.
Myofascial trigger points as a primary cause of equine lameness: a biomechanical, neurophysiological, and fascial review.
Frontiers in veterinary science    May 20, 2026   Volume 13 1852775 doi: 10.3389/fvets.2026.1852775
Scheibenpflug M, Haussler KK.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...
Possible Effects of C-Reactive Protein in the Central Nervous System During Venezuelan Equine Encephalitis Virus Infection.
Reviews in medical virology    May 17, 2026   Volume 36, Issue 3 e70165 doi: 10.1002/rmv.70165
Valero-Cedeño N, Durán A, Mosquera JA.Venezuelan equine encephalitis virus (VEEV) is an alphavirus vectored by mosquitos. It can cause disease in equines and humans characterised by a febrile illness that may progress into encephalitis. Replication of VEEV in the central nervous system induces activation of glial cells and neurons, compromising the blood-brain barrier (BBB) and inducing a state of neuroinflammation. This inflammation can lead to symptoms such as confusion, seizures, and coma, and sustained inflammation contributes to neurodegeneration. C-reactive protein (CRP) is a biomarker that has previously been associated wit...
Novel imaging protocol enables myelography of the cervical vertebral column using computed tomography with flexion and extension comparable to x-ray.
Equine veterinary journal    May 13, 2026   doi: 10.1002/evj.70187
Schulze N, Tull T, Drumond B, Reuter T, Werpy N.Radiographic myelography is the traditional diagnostic method for detecting cervical spinal cord compression in horses but it is limited by superimposition and restriction to sagittal plane imaging. Computed tomography (CT) and CT myelography overcome many of these limitations yet previous CT protocols have not allowed dynamic imaging in flexion and extension comparable to radiographs. Objective: To describe and evaluate a novel CT myelography protocol that enables imaging of the equine cervical vertebral column (C to C/T) in flexion, neutral, and extension, and to compare intervertebral angle...
Physical Therapy Intervention With Hippotherapy (HPOT) Affects Balance Control in the Elderly: A Randomized Controlled Trial.
Health science reports    May 3, 2026   Volume 9, Issue 5 e72349 doi: 10.1002/hsr2.72349
Gholami BB, Fatahi A, Boroushak N, Molavian R.Aging is characterized by a decline in functional abilities, strength, balance, flexibility, agility, and coordination due to neurological and muscular changes. Hippotherapy (HPOT) has been recognized for its physical and psychological benefits for older adults. Hence, this study aimed to investigate the effects of hippotherapy on balance in elderly individuals. The novelty lies in using the Biodex Balance System SD for dynamic balance assessment in healthy elderly without neurological disorders. Unassigned: We recruited elderly men aged 60 to 70 who had independent mobility and medical cleara...
Evidence of occipitoatlantoaxial malformations independent of the HOXD3 mutation in an Arabian horse.
Journal of equine veterinary science    April 12, 2026   105894 doi: 10.1016/j.jevs.2026.105894
Vanderbiest L, Rousseau L, Renaville B, Aleman M, Finno C, Milan A, Vinardell T.Occipitoatlantoaxial malformations (OAAM) are developmental disorders occurring at the occiput, atlas and axis. OAAM type 1 is a familial disorder affecting Arabian horses. Currently, a single genetic mutation in the HOXD3 gene region can be tested to confirm the diagnosis. This case describes a 3-year-old Arabian gelding affected with OAAM. Clinical examination revealed a proximal cervical deformation on the right side and severe stiffness of the neck in the sagittal plane without associated pain. Neurological examination demonstrated a generalized proprioceptive ataxia. Radiographs revealed ...
Evaluating Protein Enrichment Methods to Improve Biomarker Discovery in Equine Cerebrospinal Fluid.
Veterinary medicine and science    April 10, 2026   Volume 12, Issue 3 e70933 doi: 10.1002/vms3.70933
Federico F, Amie W, Alzbeta C, Anders J, David LP, Mandy PJ.Cerebrospinal fluid (CSF) is a valuable source of biomarkers for neurological diseases, but detection of low-abundance proteins is often masked by highly abundant proteins. Enrichment strategies can enhance proteomic coverage and improve biomarker discovery, yet comparative evaluations of such methods in equine CSF are limited. Objective: This study compared the ProteoMiner Small-Capacity Enrichment Kit and the PreOmics Enrich-iST Kit for their ability to deplete high-abundance proteins and enhance detection of low-abundance proteins relevant to neuropathology. Methods: Equine CSF samples were...
Evaluation and Management of the Horse with Head and Neck Disorders.
The Veterinary clinics of North America. Equine practice    April 9, 2026   S0749-0739(26)00013-1 doi: 10.1016/j.cveq.2026.02.001
Story MR, Nout-Lomas YS.Recognizing possible causes of equine head and neck problems requires a careful and systematic evaluation. While for some disorders reaching a diagnosis and treatment plan is relatively straightforward, for others this can be a complicated road requiring extensive diagnostic techniques, treatment trials, and management strategies. The ability to determine whether the patient is in a painful state, experiencing functional deficits, or in a combination of pain and dysfunction is critical to developing an effective treatment plan. Frequently, behavioral concerns often associated with pain must be...
Case Report: Neurologic signs following rattlesnake envenomation.
Frontiers in veterinary science    April 7, 2026   Volume 13 1756610 doi: 10.3389/fvets.2026.1756610
Weintraub L, Fielding CL, Bouton J, Rhodes D.Rattlesnake envenomation is a common emergency in horses in California. Rattlesnakes belong to a group of venomous snakes: pit vipers. The Northern Pacific Rattlesnake (), a subspecies of the Western Rattlesnake, is the most widespread rattlesnake in California (1). A 5-year-old miniature horse mare presented for a presumed Western Rattlesnake bite. The owners found the horse the morning of presentation with severe facial swelling and the horse was housed in an area where rattlesnakes are commonly observed. The horse was reported to be normal the day prior to presentation. On blood examination...
Advanced Imaging of the Cranium and the Cervical Spine for Equine Neurologic Disease.
The Veterinary clinics of North America. Equine practice    April 2, 2026   Volume 42, Issue 1 31-46 doi: 10.1016/j.cveq.2025.12.011
Manso-Díaz G.Diagnostic imaging is essential for evaluating and managing neurologic disease in horses. Following clinical lesion, neurolocalization imaging modalities are often necessary to further characterize the disease process. However, which technology to use depends on various factors, including the patient's size, clinical signs, and the anatomic region. Current advances in imaging technology, in general, and the adaptation of different modalities for equine patients, in particular, have substantially improved our ability to evaluate the equine central nervous system. This article will summarize the...
Ultrasound-guided injection of bupivacaine into the cricoarytenoid dorsalis muscle as a novel technique for transiently inducing laryngeal hemiplegia in horses.
American journal of veterinary research    April 2, 2026   1-2 doi: 10.2460/ajvr.26.01.0025
Massie S, Bayly WM, Takahashi Y, Léguillette R.In clinical research, laryngeal hemiplegia (LH) is induced by temporarily supressing recurrent laryngeal nerve function; however, the technique is challenging. The aim was to develop a novel method to induce LH by injecting bupivacaine directly into the cricoarytenoid dorsalis (CAD) muscle with ultrasound guidance. Unassigned: 5 cadaver larynges and 9 Thoroughbreds with normal laryngeal function. Unassigned: Part 1: A high-frequency (6.5- to 13.0-MHz) linear ultrasound probe was used to inject methylene blue (5 mL) into the CAD of 5 cadaver larynges. Part 2: The left side of the larynges of 9 ...
Cervical extradural mast cell tumour in a 2-year-old Irish Sport Horse colt.
Journal of comparative pathology    March 24, 2026   Volume 227 1-3 doi: 10.1016/j.jcpa.2026.02.001
Palunas V, Fussell D, Helgert N, Long AE, Aitken MR, Abraham M.A 2-year-old Irish Sport Horse colt presented with acute, severe and rapidly progressive neurological signs, arriving recumbent to the hospital. Ante-mortem diagnostics did not reveal the cause of the recumbency, and the colt was euthanized after treatment and supportive care did not result in clinical improvement. A cranial cervical extradural mast cell tumour with eosinophilic granulomas and secondary compressive myelopathy with axonal degeneration was diagnosed on post-mortem evaluation. No other masses or clinically relevant findings were present, suggesting a primary neoplasm. Neoplasia a...
Anatomical description of the vertebrobasilar and carotid systems forming the cerebral arterial circle in the equine brain.
Frontiers in veterinary science    March 24, 2026   Volume 13 1772131 doi: 10.3389/fvets.2026.1772131
Al Aiyan A, Alnahdi AF, Abu Hayah S, Alshamsi A, Alshebli H, Aleissaee S, Balan R.The cerebral blood supply in horses is maintained by carotid and vertebrobasilar systems, which join the cerebral arterial circle to ensure continuous brain perfusion. This study aimed to comprehensively describe the origins, courses, and interconnections of the vertebrobasilar and carotid systems in the horse brain. Unassigned: Ten adult equine specimens were obtained from horses euthanized for non-neurological reasons. Following perfusion with 10% formaldehyde, colored latex was injected into the arterial system, and detailed dissections were performed to study major intracranial vessels. Un...
Preliminary Investigation of a Transcutaneous Ultrasound-Guided Technique for Pudendal Nerve Block in Six Horse Cadavers.
Animals : an open access journal from MDPI    March 23, 2026   Volume 16, Issue 6 995 doi: 10.3390/ani16060995
Pye E, Marcilla MG, Duncan JC.Regional anaesthesia of the equine anogenital tract is limited to local infiltration, extradural, blind palpation and nerve stimulator-guided techniques which risk iatrogenic damage, recumbency and ataxia. This study aimed to describe and assess the feasibility of transcutaneous ultrasound-guided (USG) pudendal nerve staining in equine cadavers. An initial pilot phase used two fresh equine cadavers and one standing unsedated horse to image the intrapelvic anatomy using ultrasound. One fixed equine cadaver specimen was also dissected to identify the pudendal nerve and refine the dissection appr...
Main causes of death in aged horses in a retirement facility in California can be attributed to the digestive and musculoskeletal systems.
American journal of veterinary research    March 19, 2026   1-8 doi: 10.2460/ajvr.25.12.0446
Sunderland KA, Affolter VK, Cassano JM, Berryhill EH, Morgan JM.To determine the main causes of death in aged horses residing at a retirement facility in California. Unassigned: A retrospective cross-sectional study design was utilized to evaluate signalment, medical history, and necropsy reports of horses aged 20 years or older at death and housed at a single retirement facility. All cases underwent a standard post mortem evaluation from 2010 through 2020 by the University of California-Davis William R. Pritchard Veterinary Medical Teaching Hospital. Euthanasia decisions were made by the retirement facility staff in consultation with a veterinarian. The m...
Orthoflavivirus-associated neurological disease in a UK horse.
The Veterinary record    March 13, 2026   Volume 198, Issue 6 e236 doi: 10.1002/vetr.70525
Cornelisse K, Ionescu AM.Keesjan Cornelisse and Andra-Maria Ionescu discuss the clinical presentation, investigation and diagnostic approach to a case of orthoflavivirus infection in a horse in south-west England.
Acute effect of hippotherapy applied on different sitting surfaces in children with special needs.
Journal of pediatric rehabilitation medicine    March 3, 2026   18758894261423727 doi: 10.1177/18758894261423727
Gulcelik GE, Sever E, Atalay B, Dursun E, Memisoglu I.PurposeThis study aimed to assess the acute effects of hippotherapy performed on different seating surfaces on sitting balance and walking speed in children with special needs.Materials and MethodsChildren aged 3-18 years with special needs were included. Participants were assigned to three groups: Group 1 (Saddle), Group 2 (No saddle, direct horse contact), and Group 3 (Saddle with additional texture material). Each group received a 30-min hippotherapy session in a riding arena. Sitting balance was measured with the BeCure balance system, and walking speed was assessed using the 10-meter walk...
Cryptophthalmia, microphthalmia, oronasal malformation, and hydrocephalus in an aborted equine fetus with umbilical torsion in the state of Mato Grosso, Brazil.
Veterinary research communications    February 28, 2026   Volume 50, Issue 3 178 doi: 10.1007/s11259-025-11060-9
Barrantes Murillo DF, Camillo G, Souza Serrano B, Almeida Luciano LP, Castilho Bichara GV, Chaves Vás CA, Furlan Gouvêa FH, Brandini Nespoli PE....Facial abnormalities and brain defects in aborted equine fetuses are rarely reported, and the causes that predispose the occurrence of this condition are difficult to identify. This work reports the morphological and tomographic findings of a case of cryptophthalmia, microphthalmia, oronasal malformation, and hydrocephalus in an aborted equine fetus with umbilical cord torsion in the state of Mato Grosso, Brazil, from a primiparous Quarter Horse female, with 7 months of gestational age. The occurrence of miscarriage was associated with compromised maternal-fetal blood flow due to umbilical cor...
Clinical Manifestations and Behaviors Associated with Equine Head and Neck Disorders.
The Veterinary clinics of North America. Equine practice    February 26, 2026   S0749-0739(26)00002-7 doi: 10.1016/j.cveq.2026.01.002
Nout-Lomas YS, Story MR.Equine head and neck disorders can present with a wide range of clinical manifestations, depending on the structures involved and disease process. Important components of the gastrointestinal, respiratory, ophthalmological, neurological, and musculoskeletal systems are contained within the head and neck, and clinical signs of disorders will result in expected clinical signs. However, clinical manifestations of disease are sometimes subtle, and when not recognized can lead to behavioral changes including undesired behaviors and poor sleep. Recognizing behavioral phenotypes of horses with proble...
Updates on Seizures and Epilepsy in the Horse.
The Veterinary clinics of North America. Equine practice    February 25, 2026   S0749-0739(25)00077-X doi: 10.1016/j.cveq.2025.12.009
Migliorisi A.The goal of this article is to provide the equine practitioners with a framework for a diagnostic algorithm for the patient presented with possible seizures/epilepsy. Using a comparative approach, a review of companion animal and human research is provided with the intention of expanding our current knowledge on seizure/epilepsy, as well as diagnostic and treatment strategies for equine patients.
Update on Idiopathic Trigeminal-Mediated Headshaking.
The Veterinary clinics of North America. Equine practice    February 20, 2026   S0749-0739(25)00071-9 doi: 10.1016/j.cveq.2025.12.003
Aleman M, Morales CJ.Idiopathic trigeminal-mediated headshaking is a painful neuropathic disorder characterized by sudden, violent, predominantly vertical head movements of unknown etiology. Clinical signs may be seasonal or persistent and triggered by light, sound, exercise, or tactile nasal stimulation. The pathophysiology is multifactorial, involving abnormal trigeminal nerve excitability influenced by hormonal, environmental, and dietary factors. Treatment is challenging and typically multimodal, aiming to reduce trigeminal hypersensitivity and improve quality of life.
Functional and histopathologic evidence of laryngeal reinnervation using the spinal accessory nerve in horses.
Veterinary surgery : VS    February 18, 2026   doi: 10.1111/vsu.70083
Campos Schweitzer A, Mespoulhes-Rivière C, Perkins JD, Ducharme NG, Piercy RJ, Lynch N, Rossignol F.To evaluate functional and histopathologic outcomes of standing selective laryngeal reinnervation using the spinal accessory nerve (SAN) in horses with experimentally induced recurrent laryngeal neuropathy (RLN). Methods: Five Thoroughbred mares. Methods: Prospective cohort study. Methods: The horses underwent left recurrent laryngeal neurectomy followed 8 weeks later by selective laryngeal reinnervation using the SAN. Follow-up evaluations at 4.5, 6, 8, and 12 months included treadmill exercising endoscopy, ultrasonography of intrinsic laryngeal muscles, and percutaneous electrical stimul...
Acquired and Degenerative Conditions of the Cervical Vertebral Column in Horses.
The Veterinary clinics of North America. Equine practice    February 12, 2026   S0749-0739(25)00078-1 doi: 10.1016/j.cveq.2025.12.010
Schmidt S, Swagemakers JH, le Jeune SS.The cervical vertebral column in horses plays a crucial role in movement, posture, and performance and disorders affecting it can cause pain, ataxia, or lameness. This review discusses major acquired (traumatic, infectious, neoplastic) and degenerative (osteoarthritis, foraminal stenosis, intervertebral disc disease) conditions. Acquired lesions often arise from trauma, bacterial infection, or neoplasia, with clinical signs ranging from neck pain to neurologic deficits. Degenerative disorders, particularly osteoarthritis of articular process joints, are common in the caudal cervical spine and ...
Congenital Cervical Vertebral and Spinal Cord Anomalies.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00073-2 doi: 10.1016/j.cveq.2025.12.005
Haussler KK.Congenital cervical vertebral anomalies in horses are structural changes in the neck vertebrae that develop during the fetal stage. These anomalies can vary in their severity and effects. Some horses may not show any clinical signs and can live normally, while others may develop serious problems such as spinal cord compression. This compression can lead to issues like ataxia or even paralysis, affecting the horse's mobility and quality of life. Recognizing and diagnosing these anomalies early are very important, as it helps guide decisions about the best treatment options and overall managemen...
Current and Future Central Nervous System Surgery-Part 1: Cervical Spinal Cord Compression.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00074-4 doi: 10.1016/j.cveq.2025.12.006
Nelson BB, Easley JT.Ventral cervical stabilization remains the primary surgical approach, in general, for horses with spinal cord compression. Advancements in volumetric imaging offer a more comprehensive understanding of central nervous system dysfunction elucidating that other modes of compression exist. Minimally invasive instrumentation and computer-assisted surgery are expanding therapeutic possibilities for cervical vertebral compressive myelopathy, radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as articular process joint fixation, targeted decompression...
Current and Future Central Nervous System Surgery-Part 2: Radiculopathy, Vertebral Fractures, and Intracranial Surgery.
The Veterinary clinics of North America. Equine practice    February 6, 2026   S0749-0739(25)00075-6 doi: 10.1016/j.cveq.2025.12.007
Nelson BB, Easley JT.Equine neurosurgery is a challenge for many surgeons, particularly when central nervous system (CNS) disease is not addressed through ventral cervical stabilization, the most performed neurosurgical procedure. Advances in diagnostic imaging, minimally invasive instrumentation, and computer-assisted surgery are expanding therapeutic possibilities beyond cervical vertebral compressive myelopathy, including radiculopathy, vertebral fractures, and intracranial or intraspinal masses. Emerging techniques-such as percutaneous foraminotomy, facet fixation, targeted decompression, novel implant systems...
Effects of intravenous oxytocin on plasma serotonin and trainability in horses.
Domestic animal endocrinology    February 5, 2026   Volume 95 106999 doi: 10.1016/j.domaniend.2026.106999
Jung Y, Yoon M.Oxytocin (OXT) plays a crucial role in regulating the serotonin (5-HT) system and behavior. Although previous studies have reported significant relationships among OXT, 5-HT, and behavioral responses, the effects of OXT on 5-HT concentrations and behavioral traits in horses remain poorly understood. This study aimed to investigate the effects of intravenous OXT administration on plasma 5-HT concentrations and trainability in horses. A crossover design was employed using eight horses, each receiving either a 10-IU intravenous dose of OXT or normal saline. Blood samples were collected at baselin...
Identifying Host-Characteristics and Management Risk Factors in a California Equine Herpesvirus Myeloencephalopathy (EHM) Outbreak.
Veterinary sciences    January 27, 2026   Volume 13, Issue 2 121 doi: 10.3390/vetsci13020121
Gordon S, Pusterla N, Finno CJ, Young A, Martínez-López B.Equine alphaherpesvirus-1 (EHV-1) is a highly contagious virus that can cause the neurological form, equine herpesvirus myeloencephalopathy (EHM). Understanding transmission-related risk factors is crucial for improving prevention strategies and guiding effective control measures. In this study, we collected data from 63 horses that had previously participated in the February 2022 winter horse show season at the Desert International Horse Park (DIHP) (26 cases and 37 controls) to identify host and management factors associated with EHV-1 infection and/or EHM development during the February 202...
Evidence linking ambient air pollution to domestic animal health outcomes: a scoping review.
Journal of the American Veterinary Medical Association    January 14, 2026   1-10 doi: 10.2460/javma.25.10.0666
Kern-Allely C, Scott D, Magzamen S, Duncan C.Air pollution is a major global health threat that is expected to worsen, yet its effects on domestic animals remain poorly understood. The objective of this scoping review was to synthesize existing evidence on associations between ambient air pollutants and health outcomes in domestic animals and to identify gaps to guide future research. Unassigned: A scoping review was conducted following the Arksey and O'Malley framework and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines with 2 search databases (PubMed and Web of Science) using ...
Surgical Removal of a Large Maxillary Sinus Mass Containing Three Dental Structures in a Standing Horse.
Journal of veterinary dentistry    January 9, 2026   8987564251407977 doi: 10.1177/08987564251407977
de Chaisemartin C, Belluco S, Nottrott K.Dental masses such as odontogenic masses, heterotopic polydontia, or ectopic supernumerary teeth have been documented in the equine head. This is the first case report of a large maxillary sinus mass with 3 ectopic teeth in an adult horse. A 14-year-old warmblood gelding was presented for evaluation of chronic right-sided nasal discharge. After imaging exploration, surgery was performed on the standing horse with a conchofrontal sinus trephination and a large maxillary bone (MB) sinusotomy. The examinations revealed a sinusal mass in the right maxillary sinus covered by sinusal mucosa and surr...
Effect of horse sleep behavior on performance in a field-side spatial reversal learning test.
Scientific reports    January 6, 2026   Volume 16, Issue 1 4265 doi: 10.1038/s41598-025-34463-9
Hämäläinen MJ, Brotherus IL, Wigren HM, Kaimio TE, Suomala H, Olbricht AM, Hänninen LT, Mykkänen AK.Reduced rapid-eye-movement (REM) sleep is associated with impaired learning in many species. We developed a reversal learning test (RLT) suitable for field conditions to explore this association in 16 healthy horses. Nocturnal REM-like sleep behavior was recorded five times for 48 h over a six-week period. The horses performed a target training task followed by an RLT using two objects. When the horses reached a predefined frequency of touching the object, the spatial location was reversed. Mean test parameters were statistically analysed using GENLIN models, longitudinal continuous variables...
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