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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.
Qualitative and quantitative characteristics of the electroencephalogram in normal horses after sedation.
Journal of veterinary internal medicine    April 10, 2012   Volume 26, Issue 3 645-653 doi: 10.1111/j.1939-1676.2012.00921.x
Williams DC, Aleman M, Tharp B, Fletcher DJ, Kass PH, Steffey EP, LeCouteur RA, Holliday TA.The administration of certain sedatives has been shown to promote sleep in humans. Related agents induce sleep-like behavior when administered to horses. Interpretation of electroencephalograms (EEGs) obtained from sedated horses should take into account background activity, presence of sleep-related EEG events, and the animal's behavior. Objective: Sedatives induce states of vigilance that are indistinguishable on EEGs from those that occur naturally. Methods: Six healthy horses. Methods: Digital EEG with video was recorded after administration of 1 of 4 sedatives (acepromazine, butorphanol, ...
Electrophysiological studies in American Quarter horses with neuroaxonal dystrophy.
Veterinary ophthalmology    March 20, 2012   Volume 15 Suppl 2 3-7 doi: 10.1111/j.1463-5224.2012.00997.x
Finno CJ, Aleman M, Ofri R, Hollingsworth SR, Madigan JE, Winfield L, Bannasch DL.Neuroaxonal dystrophy (NAD) is a disease characterized by the sudden onset of neurologic signs in horses ranging from 4 to 36 months of age. Equine degenerative myeloencephalopathy (EDM), a disease that has been associated with low vitamin E concentrations, is considered a more advanced form of NAD. The objective of this report is to describe the electrophysiological features of NAD/EDM in American Quarter horses (QHs). HORSES: Six NAD/EDM-affected QHs and six unaffected QHs were evaluated by ophthalmic examination and electroretinography. Five of the NAD/EDM-affected QH and five unaffected QH...
Computed tomographic appearance of equine sinonasal neoplasia. Cissell DD, Wisner ER, Textor J, Mohr FC, Scrivani PV, Théon AP.The computed tomography (CT) features of tumors involving the nasal cavity and/or paranasal sinuses of 15 horses were reviewed. The 15 tumors included five neuroendocrine tumors/neuroblastomas, two undifferentiated carcinomas, two myxosarcomas, and one each of nasal adenocarcinoma, hemangiosarcoma, chondroblastic osteosarcoma, anaplastic sarcoma, myxoma, and ossifying fibroma. All tumors except the ossifying fibroma were iso- or hypoattenuating relative to masseter muscle. Thirteen of the fifteen tumors exhibited moderate or marked osteolysis of adjacent cortical bone and 14/15 were characteri...
Carts, Horses, and Push-Pull Regulation of EGABA in Neonatal Seizures.
Epilepsy currents    December 2, 2011   Volume 11, Issue 6 205-208 doi: 10.5698/1535-7511-11.6.205
Staley K.No abstract available
Clinical neurology.
The Veterinary clinics of North America. Equine practice    November 22, 2011   Volume 27, Issue 3 ix-x doi: 10.1016/j.cveq.2011.08.011
Divers TJ, Johnson AL.No abstract available
Fatal infection in two Icelandic stallions caused by Halicephalobus gingivalis (Nematoda: Rhabditida).
Veterinary parasitology    November 12, 2011   Volume 186, Issue 3-4 523-527 doi: 10.1016/j.vetpar.2011.11.024
Eydal M, Bambir SH, Sigurdarson S, Gunnarsson E, Svansson V, Fridriksson S, Benediktsson ET, Sigurdardóttir ÓG.Opportunistic infections with the free living nematode Halicephalobus gingivalis are infrequently reported in horses but the cases are widespread geographically. The nematodes are believed to penetrate wounds and subsequently reproduce within the host tissues. This paper reports two cases of a fatal disease in stallions of the Icelandic breed in Iceland. Case 1: a stallion, which sustained injuries to the mouth after an accident, developed severe neurological signs and had to be euthanatized. Histological examination revealed mild inflammation and malacia in the cerebellum associated with the ...
Expression of high-molecular-mass neurofilament protein in horse (Equus caballus) spinal ganglion neurons.
Microscopy research and technique    October 28, 2011   Volume 75, Issue 5 626-637 doi: 10.1002/jemt.21102
Russo D, Castellani G, Chiocchetti R.Spinal ganglion (SG) neurons are subdivided, on the basis of their cytoplasmic aspect at light and electron microscopy, into dark (D) and light (L) neurons. Numerous efforts have been made to find specific markers able to identify D and L neuronal cytotypes. The isolectin B4 (IB4), utilized to identify nonpeptidergic D neurons in mice, unfortunately, has not proved as effective in other species. The 200-kDa neurofilament protein (NF200) is considered as a typical marker of L neurons in the rat, cat, and chick. The aim of this study was to analyze the histological, morphometric, and neurochemic...
Differentiation of ataxic and orthopedic gait abnormalities in the horse.
The Veterinary clinics of North America. Equine practice    October 21, 2011   Volume 27, Issue 3 411-416 doi: 10.1016/j.cveq.2011.08.007
Licka TF.The differentiation of ataxia and orthopedic disease can be facilitated by the use of several additional tests, not commonly part of either neurologic or orthopedic examination protocols. However, a full neurologic and orthopedic examination and suitable diagnostic imaging will of course also be necessary in such cases. The common association of orthopedic and neurologic disease makes it even more necessary to correctly attribute movement or posture abnormalities to potentially treatable structures.
Advanced imaging of the nervous system in the horse.
The Veterinary clinics of North America. Equine practice    October 21, 2011   Volume 27, Issue 3 439-453 doi: 10.1016/j.cveq.2011.08.009
Scrivani PV.Neuroimaging underwent a dramatic revolution during the past few decades due to the development of new technologies that produce exquisite images of patient morphology and function, new technologies that store and distribute information more efficiently, and research that has improved understanding of pathogenesis and effective clinical use of new imaging methods. Advanced equine neuroimaging is a specialized field with unique challenges associated with patient size, availability of equipment, using equipment designed for humans, small sample size for various diseases, and issues associated wi...
Miscellaneous neurologic or neuromuscular disorders in horses.
The Veterinary clinics of North America. Equine practice    October 15, 2011   Volume 27, Issue 3 481-506 doi: 10.1016/j.cveq.2011.08.001
Aleman M.NMD is an important cause of morbidity in horses. Signs of dysfunction could be variable depending on the specific area affected. NM disease can go unrecognized if a thorough evaluation is not performed in diseased horses. Electrodiagnostic testing is an area that has the potential to document and improve our understanding of NM disease yet is uncommonly performed. Keeping an open and observant mind will enhance our ability to search and find answers.
Neonatal encephalopathy in foals.
Compendium (Yardley, PA)    October 14, 2011   Volume 33, Issue 9 E5 
Wong D, Wilkins PA, Bain FT, Brockus C.Neonatal encephalopathy is a common central nervous system disorder of neonatal foals and human infants, resulting in clinical signs such as lethargy, inappropriate behavior, seizures, and other neurologic deficits. Although neonatal encephalopathy is frequently seen in equine practice, a paucity of veterinary clinical and basic science research data is available. Therefore, the pathophysiologic mechanisms of this disorder in equids, such as energy deprivation, excess excitatory amino acids, and free radical injury, have been extrapolated from human medicine. Equine veterinarians have used var...
Hypoxic ischemic encephalopathy–what can we learn from humans?
Journal of veterinary internal medicine    October 7, 2011   Volume 25, Issue 6 1231-1240 doi: 10.1111/j.1939-1676.2011.00818.x
Dickey EJ, Long SN, Hunt RW.Hypoxic ischemic encephalopathy (HIE) is a condition that occurs in both human newborns and foals. The condition is the subject of extensive current research in human infants, but there have been no direct studies of HIE in foals, and hence, knowledge of the condition has been extrapolated from studies in humans and other animal models. The purpose of this review article is to highlight the most up-to-date and relevant research in the human field, and discuss how this potentially might have an impact in the management of foals with HIE.
Early use of Xeomin neurotoxin for local anti-spasticity therapy for pes equines after acquired brain injury (ABI).
Brain injury    September 30, 2011   Volume 25, Issue 12 1266-1269 doi: 10.3109/02699052.2011.613085
Lippert-Gruner M, Svestkova O.The acute management of spasticity following ABI is challenging. Contractures can occur during the acute phases of illness. The joints most affected are the shoulders and the ankles. Methods: A case study of a 48-year-old female patient who received local chemoneurolytic anti-spasticity therapy following a severe subarachnoid haemorrhage for pes equines deformity is presented to illustrate the role of focal neurotoxin therapy. Methods: The increasing spasticity in her legs was observed and could not be effectively treated with oral anti-spasticity agents or intensive physiotherapy. As spastici...
Evaluation of epidemiological, clinical, and pathological features of neuroaxonal dystrophy in Quarter Horses.
Journal of the American Veterinary Medical Association    September 16, 2011   Volume 239, Issue 6 823-833 doi: 10.2460/javma.239.6.823
Aleman M, Finno CJ, Higgins RJ, Puschner B, Gericota B, Gohil K, LeCouteur RA, Madigan JE.To describe epidemiological, clinical, and pathological features of neuroaxonal dystrophy in Quarter Horses (QHs) on a single farm. Methods: Prospective case series. Animals-148 horses. Methods: Neurologic, pathological, and toxicological evaluations were completed in selected neurologically affected horses over a 2-year period. Descriptive statistical analysis was performed. Results: 87 QHs and 1 QH-crossbred horse were affected. Most (50/88 [56.8%]) affected horses were 1 to 2 years old (median age, 2 years [range, 2 months to 34 years]). Neurologic deficits included obtundation (53/88 [60%]...
Lumbar ligamentum flavum hematoma treated with endoscopy.
Orthopedics    July 7, 2011   Volume 34, Issue 7 e324-e327 doi: 10.3928/01477447-20110526-27
Ohba T, Ebata S, Ando T, Ichikawa J, Clinton D, Haro H.Hematoma of the ligamentum flavum is a rare cause of neural compression, for which treatment has consisted of excising the hematoma via open surgical approaches, including total laminectomy or bilateral partial laminectomy. This article presents the first report of a microscope-assisted endoscopic decompression to resect a hematoma of the ligamentum flavum.A 52-year-old man presented with back and leg pain, as well as difficulty initiating micturation. Magnetic resonance imaging demonstrated an epidural mass at L5/S1 that was continuous with the facet joint. Visualization was obtained via an e...
Nociceptive trigeminal reflexes in non-sedated horses.
Veterinary journal (London, England : 1997)    June 12, 2011   Volume 191, Issue 1 101-107 doi: 10.1016/j.tvjl.2011.03.022
Veres-Nyéki KO, Leandri M, Spadavecchia C.Electrically induced reflexes can be used to investigate the physiology and pathophysiology of the trigeminal system in humans. Similarly, the assessment of the trigemino-cervical (TCR) and blink reflexes (BR) may provide a new diagnostic tool in horses. The aim of this study was to evoke nociceptive trigeminal reflexes and describe the electrophysiological characteristics in non-sedated horses. The infraorbital (ION) and supraorbital nerves (SON) were stimulated transcutaneously in 10 adult Warmblood horses in separate sessions using train-of-five electrical pulses. The current was increased ...
Application of trigeminal-evoked responses to headshaking in horses.
Veterinary journal (London, England : 1997)    June 8, 2011   Volume 191, Issue 1 15-16 doi: 10.1016/j.tvjl.2011.04.019
Mayhew J.No abstract available
The effect of ex vivo flexion and extension on intervertebral foramina dimensions in the equine cervical spine.
Equine veterinary journal. Supplement    May 27, 2011   Issue 38 425-430 doi: 10.1111/j.2042-3306.2010.00226.x
Sleutjens J, Voorhout G, Van Der Kolk JH, Wijnberg ID, Back W.In dressage, the head and neck position has become an issue of concern as certain extreme positions may imply a welfare risk for the horse. In man, extension and flexion of the cervical spine cause a decrease and increase in intervertebral foramina dimensions, respectively. However, in horses, the influence of flexion and extension on foramina dimensions and its possible interference with peripheral nerve functioning remains unknown. Objective: To determine the effect of ex vivo flexion and extension on intervertebral foramina dimensions in the equine cervical spine. Methods: Computed tomograp...
Asymmetry of behavioral responses to a human approach in young naive vs. trained horses.
Physiology & behavior    May 13, 2011   Volume 104, Issue 3 464-468 doi: 10.1016/j.physbeh.2011.05.009
Sankey C, Henry S, Clouard C, Richard-Yris MA, Hausberger M.The aim of this study was to investigate the impact of training experience on young horses (Equus caballus)' lateralized responses to an approaching human. The results show that the one year old untrained horses display asymmetrical responses to an approaching human, with more negative reactions (escapes, threats) when approached from the left side, while approaches towards the right shoulder elicited more positive behaviors. On the contrary, two years old trained horses reacted equally positively to approaches and contact on both sides. Our findings support those of previous studies investiga...
Toxic equine parkinsonism: an immunohistochemical study of 10 horses with nigropallidal encephalomalacia.
Veterinary pathology    April 28, 2011   Volume 49, Issue 2 398-402 doi: 10.1177/0300985811406885
Chang HT, Rumbeiha WK, Patterson JS, Puschner B, Knight AP.Chronic ingestion of yellow star thistle (Centaurea solstitialis) or Russian knapweed (Acroptilon repens) causes nigropallidal encephalomalacia (NPE) in horses with an abrupt onset of neurologic signs characterized by dystonia of lips and tongue, inability to prehend food, depression, and locomotor deficits. The objectives of this study were to reexamine the pathologic alterations of NPE and to conduct an immunohistochemistry study using antibodies to tyrosine hydroxylase and α-synuclein, to determine whether NPE brains show histopathologic features resembling those in human Parkinson disease...
Gas-Filled Intradural Cyst within the Cauda Equine.
Journal of Korean Neurosurgical Society    March 31, 2011   Volume 49, Issue 3 182-185 doi: 10.3340/jkns.2011.49.3.182
Cho HL, Lee SH, Kim JS.A case of radicular pain that resulted from a gas-filled intradural cyst in an 80-year-old male is described. Temporary improvement of radicular pain was observed after CT-guided aspiration. However, recurrent radicular pain led to surgical treatment. In this report, the authors document the radiologic and intraoperative features of a gas-filled intradural cyst that migrated into the nerve root, and propose an optimal treatment plan based on a review of the literature.
Endocrine alterations in the equine athlete: an update.
The Veterinary clinics of North America. Equine practice    March 12, 2011   Volume 27, Issue 1 197-218 doi: 10.1016/j.cveq.2011.01.001
McKeever KH.Horses spend most of their day eating, standing, and occasionally exercising. Exercise can range from running in a pasture to athletic training. Under resting conditions, horses easily maintain the internal environment. The performance of work or exercise is a major physiologic challenge, a disturbance to homeostasis that invokes an integrative response from multiple organ systems. The response to exercise involves endocrine and neuroendocrine signaling associated with the short-term and adaptive control of many systems. The coordinated control of multiple physiologic variables is essential fo...
Fatal equine meningoencephalitis in the United Kingdom caused by the panagrolaimid nematode Halicephalobus gingivalis: case report and review of the literature.
Equine veterinary journal    March 4, 2011   Volume 43, Issue 6 759-763 doi: 10.1111/j.2042-3306.2010.00332.x
Hermosilla C, Coumbe KM, Habershon-Butcher J, Schöniger S.A fatal case of eosinophilic and granulomatous meningoencephalitis caused by the free-living panagrolaimid nematode Halicephalobus gingivalis is reported in a 10-year-old Welsh gelding in the United Kingdom. Clinical examination first revealed behavioural abnormalities which rapidly progressed to severe ataxia, reduced mentation status and cranial nerve signs. Despite symptomatic treatment no amelioration of neurological signs was achieved and the horse was subjected to euthanasia. A complete post mortem examination revealed eosinophilic and granulomatous meningoencephalitis mainly affecting t...
Use of BAER to identify loss of auditory function in older horses.
Australian veterinary journal    February 18, 2011   Volume 89, Issue 3 73-76 doi: 10.1111/j.1751-0813.2010.00682.x
Wilson WJ, Mills PC, Dzulkarnain AA.To use the brainstem auditory evoked response (BAER) to test the hypothesis that auditory function could be worse in older horses than in younger horses. Methods: BAER waveforms in response to click stimuli were measured in five younger horses (5-8 years) and four older horses (17-22 years). Results: Compared with the younger horses, the older horses showed significantly (P < 0.02) worse BAER thresholds and significantly (P < 0.02) worse BAER wave V amplitudes to the 90 decibels above normal hearing level stimulus. These results were consistent with partial deafness in the older horse gr...
Repetitive stimulation of the common peroneal nerve as a diagnostic aid for botulism in foals.
Journal of veterinary internal medicine    February 11, 2011   Volume 25, Issue 2 365-372 doi: 10.1111/j.1939-1676.2011.0682.x
Aleman M, Williams DC, Jorge NE, Magdesian KG, Brosnan RJ, Feary DJ, Hilton HG, Kozikowski TA, Higgins JK, Madigan JE, Lecouteur RA.Botulism is a potentially fatal paralytic disorder for which definitive diagnosis is difficult. Objective: To determine if repetitive stimulation of the common peroneal nerve will aid in the diagnosis of botulism in foals. Methods: Four control and 3 affected foals. Methods: Validation of the test in healthy foals for its comparison in foals with suspected botulism. Controls were anesthetized and affected foals were sedated to avoid risks of anesthesia. The common peroneal nerve was chosen for its superficial location and easy access. Stimulating electrodes were placed along the common peronea...
Effects of isoflurane anesthesia on cerebrovascular autoregulation in horses.
American journal of veterinary research    January 5, 2011   Volume 72, Issue 1 18-24 doi: 10.2460/ajvr.72.1.18
Brosnan RJ, Steffey EP, LeCouteur RA, Esteller-Vico A, Vaughan B, Liu IK.To test a hypothesis predicting that isoflurane would interfere with cerebrovascular autoregulation in horses and to evaluate whether increased mean arterial blood pressure (MAP) would increase cerebral blood flow and intracranial pressure (ICP) during isoflurane anesthesia. Methods: 6 healthy adult horses. Methods: Horses were anesthetized with isoflurane at a constant end-tidal concentration sufficient to maintain MAP at 60 mm Hg. The facial, carotid, and dorsal metatarsal arteries were catheterized for blood sample collection and pressure measurements. A sub-arachnoid transducer was used to...
Sensory nerve conduction and nociception in the equine lower forelimb during perineural bupivacaine infusion along the palmar nerves.
Canadian journal of veterinary research = Revue canadienne de recherche veterinaire    January 5, 2011   Volume 74, Issue 4 305-313 
Zarucco L, Driessen B, Scandella M, Cozzi F, Cantile C.The purpose of this investigation was to study lateral palmar nerve (LPN) and medial palmar nerve (MPN) morphology and determine nociception and sensory nerve conduction velocity (SNCV) following placement of continuous peripheral nerve block (CPNB) catheters along LPN and MPN with subsequent bupivacaine (BUP) infusion. Myelinated nerve fiber distribution in LPN and MPN was examined after harvesting nerve specimens in 3 anesthetized horses and processing them for morphometric analysis. In 5 sedated horses, CPNB catheters were placed along each PN in both forelimbs. Horses then received in one ...
Transient cauda equina syndrome related to a sacral schwannoma with cauda equine compression after a lumbar epidural block -A case report-.
Korean journal of anesthesiology    December 31, 2010   Volume 59 Suppl, Issue Suppl S222-S225 doi: 10.4097/kjae.2010.59.S.S222
Kim HT, Gim TJ, Lee JH.A 53-year-old man had chronic low back and leg pain for four years without any history of trauma or neurological manifestations. There was a reduction in symptoms after a lumbar epidural block. Two hours later after the procedure, the patient complained of perineal numbness and lower extremity weakness. The neurological evaluation revealed loss of sensation in the saddle area and the posterior aspect of the leg. The deep-tendon reflexes were decreased in the leg. The patient was unable to urinate. The MRI revealed a schwannoma at the S3 level of the sacral spine with cauda equina compression. ...
Characterization of spinal ganglion neurons in horse (Equus caballus). A morphometric, neurochemical and tracing study.
Neuroscience    December 28, 2010   Volume 176 53-71 doi: 10.1016/j.neuroscience.2010.12.042
Russo D, Bombardi C, Castellani G, Chiocchetti R.Spinal ganglion (SG) neurons have been widely described in rodents, and classified according to various criteria. On the basis of such studies, many features of rodent SG neurons have become benchmarks to classify these cells. However, these traits cannot be confirmed in all other species. In the present study, horse SG neurons were morphometrically and neurochemically characterized by detecting the neuronal markers calcitonin gene-related peptide (CGRP), substance P (SP), neuronal nitric oxide synthase (nNOS) and isolectin B4 (IB4) from Griffonia simplicifolia. Moreover, spinal cord staining ...
Mapping of equine cerebellar abiotrophy to ECA2 and identification of a potential causative mutation affecting expression of MUTYH.
Genomics    November 30, 2010   Volume 97, Issue 2 121-129 doi: 10.1016/j.ygeno.2010.11.006
Brault LS, Cooper CA, Famula TR, Murray JD, Penedo MC.Equine Cerebellar Abiotrophy (CA) is a neurological disease found in Arabian horses. CA is characterized by post-natal degeneration of the Purkinje cells of the cerebellum. Signs of CA include ataxia, head tremors, and a lack of balance equilibrium. We have discovered a linkage of the CA phenotype to a microsatellite marker on ECA2 and identified a region of conserved homozygosity spanning approximately 142 kb. Complete sequencing of the four genes in this region identified one SNP found only in Arabian horses, located in exon 4 of TOE1 and approximately 1200 base pairs upstream of MUTYH, adja...
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