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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.
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.
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 ...
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...
First night effect alters occipital brain connectivity in horses.
Scientific reports    August 17, 2025   Volume 15, Issue 1 30075 doi: 10.1038/s41598-025-14830-2
Bergeler J, Liske-Schmitz A, Schmitz T, de Camp NV.The First Night Effect is a phenomenon whereby sleep duration and quality are compromised in unfamiliar environments or situations. Horses are often transported to new locations, such as sporting events. We wanted to know if the First Night Effect is also detectable in horses in two different populations. To investigate this, we compared five horses from a professional sports horse barn that are regularly used in competitions, with six horses from a breeding barn, that are less frequently transferred to unfamiliar places. Despite the significant differences observed in electroencephalography (...
Trigeminal Nerve Asymmetry in Horses With Idiopathic Trigeminal-Mediated Headshaking: A Retrospective Case-Control Magnetic Resonance Imaging Study.
Journal of veterinary internal medicine    July 31, 2025   Volume 39, Issue 5 e70196 doi: 10.1111/jvim.70196
Heun F, Delarocque J, Feige K, Hellige M.Nerve atrophy results in trigeminal nerve (TN) asymmetry detectable by magnetic resonance imaging (MRI) in humans, but similar studies have not been performed in horses with idiopathic trigeminal-mediated headshaking (ITMHS). Objective: Horses with ITMHS show greater MRI-detected trigeminal-nerve asymmetry than controls. Methods: A total of 20 adult horses with ITMHS and six unaffected control horses. Methods: Retrospective case-control study of the TN cross-sectional area (TNCSA) based on 3-Tesla MRI scans of the equine brain. TNCSA and its side-to-side differences at four defined measurement...
Pathophysiology of penetrating captive-bolt stunning of horses.
Animal welfare (South Mimms, England)    July 25, 2025   Volume 34 e51 doi: 10.1017/awf.2025.10025
Fletcher KA, Benedetti B, Limon G, Grist A, Padalino B, Hernández-Gil M, Gibson TJ.There has been limited research into the effectiveness of penetrating captive bolt (PCB) for stunning horses () at slaughter. This study observed 100 horses at a commercial abattoir in Mexico, stunned using pneumatic PCB. Animals were assessed at the time of stunning and immediately after for signs of effective/ineffective stunning and shot positioning, with macroscopic gross brain pathology conducted to determine brain trauma. Twenty-five percent (25/100) received more than one shot and 28% (28/100) displayed behavioural signs of ineffective stunning. Of these 28 animals, all had deviations o...
Phylogenetic variation of layer II cortical immature neurons in dog and horse confirms covariance with brain size and neocortical surface.
Brain structure & function    July 7, 2025   Volume 230, Issue 6 115 doi: 10.1007/s00429-025-02981-x
Pattaro A, Ghibaudi M, Corrente C, Telitsyn N, Graic JM, Aresu L, Sherwood CC, Bonfanti L.Recent research in brain structural plasticity has identified "immature" or "dormant" neurons in layer II of the cerebral cortex (cortical immature neurons; cINs), cells that remain in a prolonged state of arrested development but retain the ability to resume maturation and integrate functionally into mature cortical circuits. These immature cells are far more abundant in large-brained mammals, being restricted to paleocortex (piriform cortex) in small-brained rodents and extending in the widely expanded neocortical mantle of species with large gyrencephalic brains. In a previous systematic an...
Detection of Novel Orthobunyavirus Reassortants in Fatal Neurologic Case in Horse and Culicoides Biting Midges, South Africa.
Emerging infectious diseases    June 26, 2025   Volume 31, Issue 7 1455-1459 doi: 10.3201/eid3107.241800
Rakaki ME, van der Walt M, Williams J, Venter M.We detected Shuni virus in horses and ovine fetuses and Shamonda virus in a caprine fetus in South Africa. We identified a Shuni/Shamonda virus reassortant in a horse and Shuni/Caimito, Shamonda/Caimito, and Shamonda/Sango virus reassortants in Culicoides midges. Continued genomic surveillance will be needed to detect orthobunyavirus infections in Africa.
Spinal Injuries from Equestrian Activity: A US Nationwide Study.
Journal of clinical medicine    June 26, 2025   Volume 14, Issue 13 4521 doi: 10.3390/jcm14134521
Loder RT, Walker AL, Blakemore LC. Equestrian activities can result in spine injuries. Most studies are from single centers, and none use a national database. It was the purpose of this study to describe the demographics, injury mechanisms, and types of equestrian-associated spinal injuries using a US national ED database. The National Electronic Injury Surveillance System database was queried for equestrian-related spine injuries from 2000-2023. ED disposition was categorized as discharged or not discharged. Statistical analyses accounted for the weighted, stratified nature of the data to obtain national estimates. There we...
Computed tomographic myelography of the cranial cervical spine in Warmblood horses with no spinal pathology-Inter- and intravertebral ratios and distribution of contrast columns in neutral and flexed cervical spine.
Equine veterinary journal    June 24, 2025   doi: 10.1111/evj.14552
Hellige M, Schröder C, Seehusen F, Cavalleri JM, Rohn K, Stadler P, Geburek F.Computed tomographic myelography (CTM) and radiographic myelography (RxM) are diagnostic for extradural spinal cord compression, but knowledge about the contrast distribution in flexion and normal position of nonaffected horses is lacking. Objective: (1) To determine the inter- and intravertebral ratios at C3-C4 of CTM in neutral and flexed positions in Warmbloods. (2) To compare the diameters of the spinal cord and the contrast columns at C3-C4 between neutral and flexed positions in CTM and RxM. (3) To evaluate the variability of measurements. Methods: Terminal in vivo method-comparison stud...
A Pilot Study on Blood Concentration of β-Amyloid (40 and 42) and Phospho-Tau 181 in Horses.
Veterinary sciences    June 23, 2025   Volume 12, Issue 7 610 doi: 10.3390/vetsci12070610
Gazzano V, Curadi MC, Capsoni S, Baragli P, Kêdzierski W, Cecchi F, Gazzano A.In humans, aging is often accompanied by cognitive decline, as seen in Alzheimer's disease. In contrast, the aging process in horses remains poorly characterized. This study aims to explore the presence of blood-based biomarkers associated with cognitive degeneration in this species. Twenty-three Arabian horses were enrolled, and 5 mL of blood was collected from each to measure serum levels of β-amyloid peptides (Aβ40 and Aβ42) and phosphorylated tau protein (pTau181), both considered reliable indicators of cognitive impairment in other species. Aβ42 was undetectable in all samples, while ...
Equine botulism.
Equine veterinary journal    June 15, 2025   doi: 10.1111/evj.14542
Slavik K, Whitlock R, Johnson A.Botulism is a severe and often fatal disease in equine patients worldwide. Clostridium botulinum is a ubiquitous soil organism which produces a potent neurotoxin resulting in neuromuscular blockade and flaccid paralysis in affected animals. Definitive diagnosis is often impractical or impossible, leading to diagnosis and treatment based on clinical experience and presenting signs. Delay in case identification and treatment results in rapid deterioration of the patient. Treatment of recumbent equine botulism cases presents challenges due to patient size and requires intensive nursing care. This...
[Diagnostic imaging of the equine cervical spine and clinical significance of findings – review of literature – Part two: Ultrasonography, myelography, computed tomography, magnetic resonance tomography, and nuclear medicine].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    June 13, 2025   Volume 53, Issue 3 191-196 doi: 10.1055/a-2536-5264
Hellige M, Geburek F.Diagnostic imaging is an important part of the diagnostic approach in equine spinal ataxia especially with the cervical spine being commonly involved. The spinal cord may be affected by a variety of conditions including cervical vertebral malformations, osteoarthritis of the articular process joints or less commonly neoplasia. Advanced imaging techniques such as myelography are more accurate in diagnosing spinal cord compression and may be performed under general anesthesia in neutral, flexed and extended positions of the cervical spine. The use of ultrasound is non-invasive and allows ultraso...
Navigated minimally invasive puncture of the trigeminal cistern in horses-a cadaveric study in preparation for a controlled rhizotomy.
Frontiers in veterinary science    June 13, 2025   Volume 12 1562404 doi: 10.3389/fvets.2025.1562404
de Preux M, Precht C, Becker R, Stieglitz L, Easley J, Koch C.Trigeminal-mediated headshaking is a neuropathic disorder in horses, characterized by signs of regional pain similar to trigeminal neuralgia in humans. The injection of glycerol into the trigeminal cistern to ablate pain-conducting nerve fibers within the trigeminal ganglion -known as glycerol rhizotomy- is a well-established treatment in human medicine. This study compares two approaches to the equine trigeminal cistern using a navigation system for guiding needle placement, a previously described ventral and a newly developed transmandibular lateral approach. The surgical accuracy and risk o...
Review of published research on primary dysautonomia of domestic animals.
The Veterinary record    June 7, 2025   e5499 doi: 10.1002/vetr.5499
Harte T, Smith D, Moore J, Wells B.An article published in 1992 by Marion M. Pollin and I.R. Griffiths reviewed the topic of primary dysautonomias of the autonomic nervous system of unidentified origin in multiple domestic species, specifically cats, dogs and horses. Thirty-one years later, we appear no closer to identifying the causal agents of these strikingly similar diseases. This article reviews the similarities and differences in clinical presentation and pathology of dysautonomia in canids, felids, equids, leporids and other less frequently reported species.
Internal fixation of a fractured cranial articular process of the sixth cervical vertebra by means of computer-assisted surgery in a Warmblood gelding.
Veterinary surgery : VS    May 23, 2025   doi: 10.1111/vsu.14273
Käfer-Karrer MJ, de Preux M, Van der Vekens E, Mattei LI, Kuhlmann J, Klopfenstein Bregger MD, Easley JT, Koch C.To describe the repair of a fractured cranial articular process (AP) of the sixth cervical vertebra (C6) with cortex screws placed in lag fashion using computer-assisted surgery. Methods: A 12-year-old Swiss Warmblood gelding. Methods: Case report. Methods: The gelding was presented with neck pain and ataxia after a fall. A fracture of the right cranial AP of C6 was identified on radiographs. The fracture was repaired by internal fixation with two 4.5 mm cortex screws of 58 and 48 mm length placed in lag fashion using computer-assisted surgery. Results: During general anesthesia, it was su...
Computed Tomography of the Hyoid Apparatus in Equine Headshaking Syndrome.
Veterinary sciences    May 23, 2025   Volume 12, Issue 6 511 doi: 10.3390/vetsci12060511
Lloyd-Edwards RA, Mulders E, Sloet van Oldruitenborgh-Oosterbaan MM, Veraa S. Headshaking is a common condition in horses, most cases are presumed idiopathic/trigeminal-nerve mediated. Diagnostic work-up of a headshaking horse may involve computed tomography (CT) of the head to exclude causative structural pathology. The relevance of the presence and severity of hyoid apparatus findings at CT to headshaking is unknown. A retrospective analysis of CT changes in the hyoid apparatus in horses was carried out. Comparisons were performed between horses with signs of headshaking and a control population and a subgroup of horses with signs of headshaking and no other 'likely...
Can Acute Neurological Disease Cause Cardiomyopathy in Horses?
Animals : an open access journal from MDPI    May 16, 2025   Volume 15, Issue 10 doi: 10.3390/ani15101447
Vitale V, Velloso Álvarez A, de la Cuesta-Torrado M, Neira-Egea P, Vandecandelaere M, Tee E, Gimeno M, van Galen G.In human medicine, neurological diseases have been associated with transient cardiac abnormalities. In horses, myocardial disease is rarely diagnosed and has been associated with a wide variety of causes. The aim of this article is to describe three horses with no previous cardiac disease, which all developed severe cardiomyopathy following neurological disease. A 5-year-old Shetland pony stallion was diagnosed with cardiomyopathy with arrhythmias following an episode of seizures caused by an accidental intra-arterial xylazine injection. A 20-year-old crossbred mare was hospitalised for an ope...
Dysphagia in an equine referral hospital, 182 cases.
Equine veterinary journal    May 15, 2025   doi: 10.1111/evj.14512
Connolly KM, Estell K.Dysphagia describes a clinical sign of pathologies of the oral cavity, pharynx, and oesophagus that carries potentially serious consequences for horses. Given the diversity of differential diagnoses that may cause dysphagia, an understanding of the prevalence of dysphagia in hospitalised patients, the distribution of aetiologies and clinical outcomes could inform diagnosis, treatment, and prognosis. Objective: This study aims to describe the incidence, signalment, history, aetiology, treatment, and outcome of horses presenting to a referral hospital for dysphagia. Methods: Retrospective case s...
Erratum for “Pain Assessment of Horses With Trigeminal-Mediated Headshaking (TMHS) at Rest Between Episodes”.
Journal of veterinary internal medicine    April 29, 2025   Volume 39, Issue 3 e70104 doi: 10.1111/jvim.70104
No abstract available
A dorsal ultrasound-guided approach to perineural injection of the sixth and seventh cervical spinal nerves in horses is accurate and does not result in epidural placement.
Journal of the American Veterinary Medical Association    April 23, 2025   1-8 doi: 10.2460/javma.25.02.0101
Brown KA, Engiles JB, de Solis CN, Bills KW, Johnson AL, Davidson EJ.To determine the accuracy of a dorsal ultrasound-guided approach for perineural injection of the sixth and seventh cervical spinal nerves (CSNs) with the use of a clinically relevant volume of injectate (2 mL). We hypothesized that the majority of injections would result in identification of contrast solution in the intervertebral foramen (IVF) on CT and corresponding methylene blue dye staining of the CSN on postmortem evaluation, and distribution of injectate into the epidural space would not occur. Unassigned: 7 horses donated to the University of Pennsylvania New Bolton Center for euthanas...
Motor pathway evaluation by transcranial magnetic stimulation in Swedish horses with acquired equine polyneuropathy.
Equine veterinary journal    April 21, 2025   doi: 10.1111/evj.14506
May A, Hanche-Olsen S, Goehring LS, Matiasek K, Jäderlund KH, Zablotski Y, Gröndahl G.Acquired equine polyneuropathy in Nordic horses (AEP) is the most prevalent equine polyneuropathy in Norway, Sweden, and Finland and is characterised by pelvic limb knuckling due to metatarsophalangeal extension dysfunction. Objective: To evaluate the function of descending motor pathways in AEP using transcranial magnetic stimulation (TMS). Methods: An analytical, observational cohort design. Methods: Clinical findings and TMS results of 20 horses from an AEP outbreak in Sweden were evaluated at 5-month intervals. Latency time (LT) in milliseconds (ms) between coil discharge and onset of musc...
Genomic regions and candidate genes associated with forehead whorl positioning in Thoroughbred horses.
Journal of equine science    March 10, 2025   Volume 36, Issue 1 11-18 doi: 10.1294/jes.36.11
Yokomori T, Tozaki T, Segawa T, Itou T.Previous studies have examined the relationship between hair characteristics and temperament traits in various animals. A partial genetic association has been suggested in humans because whorl formation and neurological development occur simultaneously during the fetal period. In the horse industry, anecdotal evidence suggests a link between the forehead whorl position and temperament. In our previous study, the heritability of forehead whorl positioning was h=0.653, indicating significant genetic contributions in thoroughbreds. Therefore, in this study, we designed a genome-wide association s...
Mycotic Sphenopalatine Sinusitis With Concurrent Compression of the Optic Nerves and Chiasm and Severe Visual Impairment in A Horse.
Veterinary ophthalmology    March 7, 2025   doi: 10.1111/vop.70003
Holz N, Suárez J, Hetzel U, Rampazzo A, Stoppini R.A 15-year-old Swiss Warmblood gelding was presented to the ophthalmology service of Zurich University due to severe visual impairment. Ophthalmic and neurologic examinations were performed, raising suspicion of post-retinal blindness. Standing contrast computed tomography (CT) of the head revealed a partially calcified, soft tissue attenuating mass in the sphenopalatine sinus with concurrent compression of the optic nerves and chiasm. Differential diagnosis included neoplasia and granulomatous disease. The horse was euthanized, and the head was subsequently examined by magnetic resonance imagi...
Systemic, hemodynamic and neurological effects of caudal epidural administration of Neosaxitoxin in horses.
Toxicon : official journal of the International Society on Toxinology    March 5, 2025   Volume 257 108303 doi: 10.1016/j.toxicon.2025.108303
Oyaneder L, Lagos N, Dörner C.The present study was conducted to evaluate the safety and the long-lasting anesthetic properties of Neosaxitoxin (NeoSTX) when injected into the intercoccygeal space in standing horses. A group of eighteen (n = 18) healthy client-owned mature crossbreed horses were enrolled in this study. Caudal epidural injection was ascertained by two methods, the "hanging drop" technique and radiographs. Horses were allocated into three groups (n = 6) each group receiving different dosages of NeoSTX. To assess the onset of action and duration of anesthesia, six horses received 20 μg in 2 mL, six 20...
How facial expressions reveal acute pain in domestic animals with facial pain scales as a diagnostic tool.
Frontiers in veterinary science    March 4, 2025   Volume 12 1546719 doi: 10.3389/fvets.2025.1546719
Mota-Rojas D, Whittaker AL, Coria-Avila GA, Martínez-Burnes J, Mora-Medina P, Domínguez-Oliva A, Hernández-Avalos I, Olmos-Hernández A....The growing interest in managing and recognizing pain in animals has led to the search for more sensitive methods to evaluate it, especially because some species conceal any visible changes associated with pain or are not easily assessed. Research has shown that an animal's facial expression changes when exposed to painful stimuli. Thus, developing several pain scales (grimace scales) in species such as horses, cattle, pigs, sheep, donkeys, rabbits, rats, mice, and cats has helped to improve the study of pain in veterinary medicine. The possibility of using facial expression as an indicator of...
Therapeutic potential of mesenchymal stem cells transplantation on traumatic facial nerve paralysis in two horses.
Veterinary research communications    February 25, 2025   Volume 49, Issue 2 118 doi: 10.1007/s11259-025-10692-1
de Oliveira Ferreira LV, Maia L, de Andrade DGA, da Costa Kamura B, de Carvalho M, Amorim RM.Cell-based therapy has emerged as a promising strategy for treating peripheral nervous system (PNS) injuries across different species. However, there is a scarcity in the literature regarding the transplantation of mesenchymal stem cells (MSCs) for treating PNS injuries in horses. This report aims to describe the therapeutic potential of equine MSC transplantation in two horses with chronic traumatic facial nerve paralysis. Both horses presented with lip ptosis and right deviation of the nostril and upper lip, being clinically diagnosed with left facial nerve paralysis. Due to the refractorine...
Cerebellar abiotrophy in a quarter horse foal.
Journal of equine veterinary science    February 16, 2025   Volume 147 105386 doi: 10.1016/j.jevs.2025.105386
Primo ALM, Assis DM, Santos VGS, de Melo LRB, da Nóbrega LD, Medeiros Dantas AF, Maciel TA.Cerebellar abiotrophy is a neurodegenerative disease that affects the Purkinje cells of the cerebellum, resulting in premature neuronal death. In horses, its occurrence has been reported mainly in the Arabian breed as a congenital mutation inherited in an autosomal recessive manner. The objective of this study was to describe the case of cerebellar abiotrophy in a Quarter Horse foal. An 8-day-old foal was treated after presenting signs of ataxia, hypermetria, difficulty maintaining a standing position, and decreased menace response. The foal was hospitalized for 26 days, received treatment wit...
Evaluation of the Effect of Intravenous Mannitol and Hypertonic Saline on Intraocular Pressure and Biometry Parameters in Anesthetized Horses With Experimentally Increased Intracranial Pressure.
Veterinary ophthalmology    February 11, 2025   doi: 10.1111/vop.70000
Bercovitz GR, Sullivan SN, Reed RA, Ryan CA, Diehl KA.To evaluate the effect of intravenous mannitol and hypertonic saline (HS) on intraocular pressure (IOP) and biometry parameters of horses with elevated intracranial pressure (ICP). Methods: Seven horses with normal ophthalmic exams were anesthetized and placed in lateral recumbency. A subarachnoid transducer was placed, and the head was lowered until ICP measured 40 mmHg +/- 2 mmHg. Five intravenous boluses of mannitol 20% (0.4 g/kg) or HS 7.2% (1 mL/kg) were administered, each 15 min apart. A 2-day washout period ensued, and the procedure was repeated with the other hyperosmotic age...
A Closed Reduction of Cervical Spine Subluxation in an Arabian Foal with an External Neck Stabilizer.
Animals : an open access journal from MDPI    January 23, 2025   Volume 15, Issue 3 doi: 10.3390/ani15030325
Domańska-Kruppa N, Stefanik E, Wierzbicka M, Kleinpeter A.Cervical spine injuries that impact young horses and foals can result in mild to severe neurological signs or even result in sudden death. There are only a few reports on conservative treatment options for this condition in the scientific literature. If the condition is left untreated, it can lead to the development of degenerative joint disease, resulting in chronic neurological symptoms and discomfort. We present the case of a two-day-old Arabian foal that showed signs of ataxia following a neck injury, being the result of cervical spine subluxation. Radiological examination revealed a dislo...
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