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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.
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.
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...
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...
Femoral nerve neuropathy of an endurance horse as a sequela of iliopsoas muscle myopathy diagnosed by transrectal ultrasonography.
Journal of equine veterinary science    December 31, 2025   Volume 157 105757 doi: 10.1016/j.jevs.2025.105757
Puccetti M, Beccati F, Pilati N.Femoral nerve neuropathy causes lameness, a condition clinically characterized by stifle's lack of extension with subsequent diminished lower limb function. This case report describes the ultrasonographic diagnosis of femoral neuropathy secondary to compression caused by myopathy of the iliopsoas muscle of an endurance horse during a competition. Transrectal ultrasonography played a pivotal role in diagnosis of the injury by assessment of the involved structures and monitoring of the healing process throughout the recovery period. The horse achieved complete recovery and successfully returned ...
Correction: An anatomical study of the subarachnoid space surrounding the trigeminal ganglion in horses-in preparation for a controlled glycerol rhizotomy in equids.
Frontiers in veterinary science    December 15, 2025   Volume 12 1749889 doi: 10.3389/fvets.2025.1749889
Becker R, Haenssgen K, Precht C, Khoma OZ, Hlushchuk R, Koch C, Kaessmeyer S, de Preux M.[This corrects the article DOI: 10.3389/fvets.2024.1424890.].
The effect of full-limb flexion tests on static and dynamic muscle activity and locomotion asymmetry in owner-sound horses.
Equine veterinary journal    December 2, 2025   doi: 10.1111/evj.70130
Jonkhart M, Serra Bragança FM, Smit IH, Brommer H, Suskens JJM.Flexion tests are commonly used in equine locomotion examinations to identify underlying locomotor issues, yet their neuromuscular effects remain poorly understood. Response variability raises concerns about their clinical value in lameness assessments and pre-purchase evaluations. Objective: Primarily, to investigate the effect of full-limb flexion tests on static (flexed position) and dynamic (subsequent trot-up) muscle activity. Secondarily, to assess their effect on locomotion asymmetry during trotting. Methods: In vivo experiments. Methods: Sixteen warmblood horses were randomly assigned ...
Outbreak of digital extensor dysfunction compatible with acquired equine polyneuropathy observed for the first time in Iceland.
Acta veterinaria Scandinavica    November 26, 2025   Volume 67, Issue 1 50 doi: 10.1186/s13028-025-00835-4
Björnsdóttir S, Sigurðardóttir ÓG, Oddsdóttir C, Reynisdóttir I, Hanche-Olsen S, Gröndahl G.Acquired equine polyneuropathy is a neuromuscular syndrome characterized by digital extensor dysfunction, primarily affecting the pelvic limbs, with consistent, repeated knuckling. Despite being recognized as an emerging disease in Scandinavia since 1995, the aetiology remains unknown, and cases have been limited to Norway, Sweden, and Finland. Methods: On a combined breeding and training farm in Iceland, 30 out of 145 horses (21%) presented with acute pelvic weakness, pelvic limb digital extensor dysfunction, knuckling and/or recumbency, from May to August 2019. The affected horses, aged 2-9Â...
Tachycardia and muscle tremors following intravenous administration of detomidine to a horse undergoing standing surgery.
Australian veterinary journal    November 25, 2025   Volume 104, Issue 3 167-170 doi: 10.1111/avj.70041
Melanie Catanchin CS, Bell J, Labens R, Quinn CT.Detomidine hydrochloride is an alpha adrenoceptor agonist that is commonly used in equine practice to provide sedation and analgesia for horses undergoing standing procedures. Reported effects following intravenous administration of detomidine in horses include bradycardia, bradyarrhythmias, transient hypertension, sweating, piloerection and dose-dependent sedation, ataxia and analgesia. This case report describes a novel response characterised by tachycardia and profound muscle tremors following the administration of intravenous detomidine to a horse undergoing a standing procedure.
Computed tomographic myelography of the cranial cervical vertebral column in unaffected Warmblood horses – comparison of transverse vertebral ratios in the flexed and neutral cranial cervical vertebral column.
Journal of equine veterinary science    November 20, 2025   Volume 156 105735 doi: 10.1016/j.jevs.2025.105735
Hellige M, Schröder C, Seehusen F, Rohn K, Geburek F.Computed tomographic myelography (CTM) is diagnostic for extradural spinal cord compression but knowledge about vertebral ratios from transverse images in flexion and normal position of unaffected horses is lacking. Objective: To compare the ratios of the cross-sectional areas (CSAs) of the spinal cord, the vertebral canal and of the contrast enhanced dural tube on transverse CTM images at C3-C4 in neutral and flexed positions in unaffected Warmbloods. Methods: CTM was performed in 13 neurologically unaffected Warmbloods in neutral and flexed cervical vertebral column positions. Ratios were ca...
Fibrocartilaginous Emboli in a 15-Year-Old Pony Mare.
Veterinary medicine and science    November 14, 2025   Volume 11, Issue 6 e70699 doi: 10.1002/vms3.70699
Kyle-LaBell E, Andersson A, Baughman B.Fibrocartilaginous embolic myelopathy (FCE) was diagnosed in a 15-year-old pony mare by histopathologic examination of the spinal cord. The horse was euthanized and submitted for necropsy following focal seizures and lateral recumbency for approximately 12 h. Histopathology of spinal cord segments C5-C7 revealed severe ischemic myelomalacia with intravascular amorphous material that stained positive with Alcian Blue, consistent with cartilaginous matrix. These features in addition to the acute onset of clinical signs are characteristic for FCE. This case report describes the clinical and histo...
Western equine encephalitis virus: A comprehensive review of epidemics, transmission, hosts, and strategies for mitigation.
Virulence    November 3, 2025   Volume 16, Issue 1 2580162 doi: 10.1080/21505594.2025.2580162
Wang L, Zheng R, Li Z, Zhang L.Recent increases in cases of western equine encephalitis (WEE) in South America have raised significant concerns about the virus's potential to cause an endemic disease due to its adaptation to mosquito vectors. Currently, there are no effective vaccines or treatments for WEEV, despite ongoing research into various biochemical products in animal models. The virus presents different pathological effects depending on the host. In humans, WEEV infection leads to central nervous system damage, resulting in encephalitis and severe neurological sequelae, which underscores the need for further resear...
Cervical epidural catheter for administration of detomidine and morphine in a model of carpal synovitis in the horse.
Veterinary surgery : VS    September 29, 2025   doi: 10.1111/vsu.70031
Edwards VL, Reed R, Perlini M, Moorman VJ.To determine the analgesic effects of detomidine and morphine administered by cervical epidural catheter (CEC) on a model of thoracic limb pain. Methods: Prospective, randomized, blinded crossover study. Methods: Five adult horses. Methods: Cervical epidural catheters were placed under ultrasound guidance, followed by induction of lipopolysaccharide (LPS)-mediated carpal synovitis. Horses received either saline or detomidine/morphine (DM; 10 μg/kg, 0.1 mg/kg, respectively) via CEC 4 h after synovitis. After a 7 day washout, synovitis was induced in the contralateral carpus, and the alternate ...
Computed Tomography Angiography Diagnosis of a Congenital Intrahepatic Central Divisional Portocaval Shunt in an Arabian Filly. Cournoyer N, Hostnik ET, Urion R.A 1-month-old Arabian filly presented for central neurologic signs that developed shortly after birth. Hyperammonemia and elevated bile acids were identified, prompting abdominal computed tomography angiography (CTA) evaluation on suspicion of congenital portosystemic shunting (PSS). CTA revealed an anomalous vessel connecting the intrahepatic central divisional portal branch and caudal vena cava, with microhepatica and bilateral renomegaly. Necropsy confirmed a single, congenital, and intrahepatic central divisional portocaval shunt. Imaging literature addressing PSS in foals is sparse, with ...
Cone beam computed tomographic myelography in horses with cervical vertebral compressive myelopathy.
Equine veterinary journal    September 18, 2025   doi: 10.1111/evj.70094
González-Medina S, Barrett MF, Aboellail TA, Nelson BB, Nout-Lomas YS.While computed tomographic (CT) myelography is increasingly available and has been evaluated in alive horses, objective criteria for diagnosing cervical vertebral compressive myelopathy (CVCM) are lacking. Objective: To establish morphometric dimensions of the cervical vertebral canal and spinal cords from horses with CVCM and compare those to unaffected horses with the use of cone beam CT (CBCT). Methods: Prospective observational study. Methods: Four control horses and ten horses with CVCM underwent diagnostic imaging and histopathology. Morphometric measurements were obtained from cervical ...
Multicenter results for C7-T1 ventral interbody fusion in horses using the kerf cut cylinder.
Veterinary surgery : VS    September 8, 2025   Volume 54, Issue 7 1326-1336 doi: 10.1111/vsu.70013
Janicek JC, Grant BD, Woodie JB, Reed SM, Mariën T, Anderson J.To describe the surgical approach used in horses undergoing C7-T1 ventral interbody fusion using a kerf cut cylinder (KCC) implant and report the short- and long-term outcomes. Methods: Observational retrospective study. Methods: A total of 38 client-owned horses. Methods: Medical records of horses that underwent ventral interbody fusion because of C7-T1 cervical vertebral stenotic myelopathy from 2004 to 2024 were reviewed. Preoperative variables included age, sex, breed, and affected site(s). Surgical variables included types of KCC used, intraoperative complications, and anesthesia related ...
Traumatic brain abscess due to Streptococcus equi subspecies zooepidemicus in a Foal.
Veterinaria italiana    September 4, 2025   Volume 61, Issue 3 doi: 10.12834/VetIt.3725.34811.2
Poci Palumbo MI, Maciel Cavalcante R, Martins Amorim R, De Vasconcelos Machado VM, Sousa Rocha N, Garcia Ribeiro M, Cagnini DQ, Secorun Borges A.Bacterial infection of the equine central nervous system is rare. This report describes the clinical features, computed tomography (CT) findings, and postmortem results of a 3-month-old female Quarter Horse with an intracranial abscess. Clinical signs included seizures, depression, and bilateral blindness. CT imaging demonstrated a large space-occupying lesion in the left cerebral hemisphere, associated with a frontal bone fracture. Necropsy and histopathology confirmed the presence of an abscess secondary to head trauma. Bacterial culture identified Streptococcus equi subsp. zooepidemicus as...
Ivermectin toxicosis in a foal: Use of intravenous lipid emulsion therapy.
The Canadian veterinary journal = La revue veterinaire canadienne    September 1, 2025   Volume 66, Issue 9 1004-1008 
Darby S, DeNotta S, Gomez DE.This report describes a case of ivermectin toxicosis in a 4-day-old thoroughbred colt successfully treated with intravenous lipid emulsion (ILE) without complications. This case supports the use of ILE as a safe and effective therapy for the management of lipophilic drug toxicosis in foals. Key clinical message: Ivermectin toxicosis, though rare in equine neonates, can occur following accidental overdose and induces severe neurologic signs. In this case, ILE administration resulted in rapid neurologic improvement and complete recovery without adverse effects, supporting its use as a safe and e...
Fistulous withers causing spinal epidural abscess in a Thoroughbred mare.
Journal of equine veterinary science    August 30, 2025   Volume 154 105680 doi: 10.1016/j.jevs.2025.105680
Ceriotti S, Clark-Price S, Cole R, Kramer A, Sandey M, Mora M.This case describes a 15-year-old Thoroughbred mare with fistulous withers that progressed to vertebral osteomyelitis and spinal epidural abscess (SEA), a severe complication that has yet to be reported. Initially treated with antibiotics and anti-inflammatory medication, the mare developed acute hindlimb ataxia and spastic paresis, suggesting spinal cord compression at T3-L3. Diagnostic imaging revealed vertebral fractures and abscessation, but vertebral canal involvement could not be confirmed. Despite aggressive medical therapy, including antimicrobials, corticosteroids, and neuroprotective...
V4020 Venezuelan Equine Encephalitis Vaccine: Mitigating Neuroinvasion and Reversion Through Rational Design.
Viruses    August 19, 2025   Volume 17, Issue 8 1136 doi: 10.3390/v17081136
Centers A, Barnaby K, Goedeker S, Pignataro A, Tretyakova I, Lukashevich I, Pushko P, Chung D.There is a need for safe and effective vaccines against the Venezuelan equine encephalitis virus that infects both humans and equines. However, development of a live-attenuated vaccine using the TC-83 strain has been hampered by substantial reactogenicity and the potential for neuroinvasion. In this study, we demonstrate that V4020, a new TC-83-based investigational VEEV vaccine with redundant safety features preventing neuroinvasion and reversion, exhibited no neuroinvasion potential in a murine model. Following subcutaneous or intramuscular administration, a subset of mice that received the ...
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