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.
Science (New York, N.Y.)November 5, 1976
Volume 194, Issue 4265 626-627 doi: 10.1126/science.790567
Radinsky L.Previous interpretations of early horse brains were based on an incorrectly identified fossil endocast, now believed to be from a condylarth. Newly prepared endocasts of Hyracotherium, the oldest horse and one of the earliest perissodactyls, reveal a relatively larger brain, with a more expanded neocortex, than existed in the condylarth ancestors of perissodactyls. Fifty million years ago, horse brains had suprasylvian, ectolateral, and lateral sulci, but the frontal lobe was undeveloped.
Rankin JS, Diesem CD.The hindlimbs of 3 ponies and 3 horses were dissected. The hip joint capsule was found to receive articular nerve fibers from the femoral, obturator, cranial gluteal, and sciatic nerves. The nerve fibers were distributed to the fibrous joint capsule and associated capsular ligaments. The stifle joint capsule was found to receive articular branches from the femoral, saphenous, obturator, common peroneal, and tibial nerves. The fibers terminated in the joint capsule, fat pad, patellar and collateral ligaments, and the internally situated meniscal and cruciate ligaments.
Timoney PJ, Donnelly WJ, Clements LO, Fenlon M.An outbreak of LI infection in a group of free range horses is described. Three of 4 horses displayed signs of CNS disturbance and 2 of these died after illnesses ranging from 2-12 days duration. In both cases a variable degree of viral polioencephalomyelitis was observed. A virus antigenically indistinguishable from a reference strain of LI virus was isolated from the brain and cervical cord of a 3 y.o. draft mare. Serum samples obtained from 3 of the horses contained HI, CF, precipitating and neutralising antibodies to LI virus, with a rise in antibody titre being demonstrated in 2 animals.
Kelly DF, Watson WJ.An aged Connemara mare had a neurological illness lasting 3 weeks and characterised by episodes of dullness, head-pressing, staggering gait and hyperexcitability. The signs recurred at intervals of 3 to 4 days, with intervening periods of apparent normality. Post-mortem examination revealed an epidermoid cyst on the dorsal surface of the occipital lobe of the left cerebral hemisphere. The cyst was lined by stratified squamous epithelium and contained desquamated keratinised material and blood. The lesion is considered to be a congenital malformation which enlarges and produces space-occupying ...
Haughey KG, Jones RT.A high frequency of meningeal lesions was found at autopsy in foals dying perinatally. Such lesions are considered an index of injury to the fetal central nervous system, from trauma and/or hypoxia during birth. Their incidence in the sample examined (26 foals) is similar to that observed in the perinatal mortality of lambs and calves.
Mayhew IG.Methods for atlanto-occipital and lumbosacral collection of cerebrospinal fluid from the horse are described in detail, and the techniques and complications discussed.
Johnson P, Rossdale PD.This paper describes preliminary experiments designed to test the hypothesis that cerebral damage is caused by cardiovascular events involving explosive changes in cerebral blood flow during birth. These events may be responsible for the convulsive episodes of foals suffering from the neonatal maladjustment syndrome.
The Journal of physiologySeptember 1, 1975
Volume 250, Issue 3 633-649 doi: 10.1113/jphysiol.1975.sp011074
Johnson KG.1. A technique for perfusion of skin has been used to investigate a possible neurochemical basis for the different patterns of sweating in domestic animals. Evaporative water loss was measured from excised trunk skin, ears or tails perfused with a nutrient Krebs solution, to which drugs were added as required. Perfused skin was observed to sweat in response to administration of sudorific drugs, and some features of the patterns of sweating were similar to those which could be induced by heating or by drugs in conscious animals. 2. In sheep and goat skin, injections of adrenaline, and to a less...
Hatziolos BC, Sass B, Albert TF, Stevenson MC.Recurrent epistaxis and locomotor and visual disturbances leading to blindness in a 7-year-old gelding appeared to have resulted from a spreading fungal granuloma of the guttural pouch. The inflammatory area extended to the intracranial segment of the right optic nerve and to the region adjacent to the optic chiasma. Microscopically, changes indicative of multiple foci of ischemic infarction were noticed in the retina, optic nerves, optic chiasma, and optic lobe. The profusely growing fungal elements in the guttural granuloma had the morphologic characteristics of an Aspergillus sp.
Bell M, Montagna W.The sweat glands in the digital pads of dogs are surrounded by nerves that are clearly demonstrated with techniques for acetyl‐ and butyryl‐cholinesterase. The glands in the hairy skin have no such nerves. In the horse, despite some variation in the abundance of demonstrable nerves around the glands, the latter are surrounded by nerves that are demonstrated only with techniques for acetylcholinesterase.
Heun F, Böing L, Theunert J, Gasse H.This basically anatomical study focuses on two items; firstly, the establishment of a system for the cartographic subdivision of the neopallium; secondly, the topographical correlation of extracranial landmarks and intracranial sites on the neopallium. Methods: The surface of the neopallium was subdivided into 15 sectors with reference to a newly introduced pattern of Primary Sulci. The topographical link between extracranial landmarks and certain intracranial sites (i.e. neopallium sectors) was elaborated by using a simple stereotactic device and a computer-assisted measurement device. Measur...
Kurz JP, Schoenhals KE, Hullinger GA, Van Wettere AJ.Syringomyelia is a form of myelodysplasia defined by the formation of one or more fluid-filled cavities within the spinal cord that do not communicate with the central canal. The defect may be congenital or acquired. Clinical signs correlate to the segment of spinal cord affected and include pain, paresis, proprioceptive deficits, alterations in sensation, scoliosis, and autonomic dysfunction. This report describes the clinical and pathologic changes in a case of acquired syringomyelia in a 10-year-old American Paint Horse mare. The horse had a six-week history of progressive proprioceptive de...
Takeuchi K, Hagiwara Y, Kanaya K, Wada K, Shiba M, Kato Y.The diagnosis of pituitary carcinoma cannot be made easily histologically, and most cases of pituitary carcinoma are diagnosed only after the clinical detection of metastasis. Distant metastasis of pituitary tumor occurs in 0.1% to 0.2% of cases and has been reported in the liver, bone and central nervous system, with only one case of metastasis to the cauda equine reported. This study describes a rare case of the drop metastasis of adrenocorticotropic hormone-producing pituitary adenocarcinoma to the cauda equina, causing cauda equina syndrome.
Melrose PA, Douglas RH.Scanning electron microscopy showed that cells in the infundibular recess of prepubertal female horses were devoid of cilia and sparsely covered with stubby microvilli and small blebs, whereas superior ventricular areas were covered with cilia. Ciliated ependymal cells in supraoptic-suprachiasmatic areas were associated with extensive blebbing, and folded tissue adjacent to the inferior borders of the mamillary body displayed distinct bands of cilia regularly interrupted by areas of sparsely ciliated cells which appeared to be undergoing ciliogenesis. Arcuate ependymal areas had well developed...
Sheldon SA, Aleman M, Costa LRR, Santoyo AC, Howey Q, Madigan JE.Trigeminal-mediated headshaking results from low-threshold firing of the trigeminal nerve resulting in apparent facial pain. Magnesium may have neuroprotective effects on nerve firing that potentially dampen signs of neuropathic pain. This hypothesis has not been investigated in horses with trigeminal-mediated headshaking. Objective: To investigate head-shaking behavior in affected horses after IV magnesium sulfate infusion. Methods: Six geldings with trigeminal-mediated headshaking. Methods: Prospective randomized crossover study. Horses were controlled for diet and infused IV with 5% dextros...
Böing L, Heun F, Gasse H.The extremely complex surface architecture of the equine brain does not allow a uniform transfer of anatomical data from other mammalian species, e.g., dog or cat. Rather, a special approach is required to elucidate the equine-specific patterns of cerebral vascular ramifications. Therefore, a novel cartographic system was applied. Prior attention was paid to the A. cerebri media (MCA) and to the A. corporis callosi (CA), as they spread over the widest part of the neopallium's Facies convexa (i.e. the lateral and dorsal surface), thus being of particular interest in terms of surgical treatment ...
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. ...
Widmer WR, Blevins WE, Jakovljevic S, Levy M, Teclaw RF, Han CM, Hurd CD.A prospective clinical trial comparing adverse postmyelographic effects and myelographic quality of metrizamide and iohexol was conducted. Using a predetermined, randomized assignment, 24 horses exhibiting neurologic signs were administered either metrizamide (180 mgl/ml) or iohexol (180 mgl/ml) via cerebellomedullary puncture. Each horse was evaluated postmyelographically for adverse effects. Myelographic quality was assessed by a numerical scoring method. Adverse effects were observed more frequently with metrizamide (21) compared with iohexol (6) myelography (p < 0.05). Seizures, intensific...
Bowker RM, Abhold RH, Caron JP, Sonea IM, Vex KB, Kotyk R.Immunocytochemical analysis of equine synovial membranes revealed presence of several neuropeptides, including substance P (SP), neurokinin A, and neuropeptide Y, in nerves of the radiocarpal, middle carpal, and metacarpophalangeal (fetlock) joints. Within the subsynovium, these neuropeptides were located perivascularly, whereas in the fronds, only neuropeptide Y was restricted to the vessels of the synovial membrane. Only SP and neurokinin A were found in the intimal layer. The intimal layer of the metacarpophalangeal joint contained more SP-immunoreactive fibers than were observed in the int...
Johnson SA.Rehabilitation of the neurologic horse represents a unique challenge for the equine practitioner. Improving postural stability and balance control through improving the strength of the spinal stabilizer muscle multifidus remains one of the most promising rehabilitative targets. This muscle can be targeted through the use of physiotherapeutic exercises, various forms of perturbation, and even whole-body vibration. Neuroanatomic localization and diagnosis specificity enable the practitioner to determine suitability for such rehabilitative tasks, and with the advent of evolving strategies and com...
Döpke C, Gröne A, von Borstel M, von Oppen T, Boéve MH, Baumgärtner W.A 17-year-old horse developed severe proptosis of the left eye over a period of 1.5 years. At post-mortem examination a neoplasm was found involving the left ethmoid bone, left maxillary sinus, left orbit, left superior turbinate, and the left eye. Tumour cells were arranged in nests separated by a fine fibrovascular stroma. Immunohistochemically, the tumour cells were labelled by antibodies against neurofilament protein, synaptophysin, glial fibrillary acidic protein and S-100 protein antigen, but were negative for chromogranin A, cytokeratin and desmin. Electronmicroscopically, the cells sho...
Cummings JF, de Lahunta A, Mohammed HO, Divers TJ, Summers BA, Valentine BA, Jackson CA.Two spontaneous neurodegenerative diseases of the horse, equine motor neuron disease (EMND) and equine degenerative myeloencephalopathy (EDM), have been associated with alpha-tocopherol deficiency, and both were characterized by prominent accumulations of endothelial lipopigment in the small vessels of the spinal cord. These endothelial pigment deposits appear to be reversible. In EMND horses pasture-supplemented for 9 months or more after the progression of weakness and wasting had arrested, there was very little endothelial lipopigment. The origin and the potential effects of these endotheli...
Mayhew IG.Parameters for the accuracy of clinical diagnosis of neurologic diseases in the horse were determined from 210 horses in which a definitive pathologic diagnosis was confirmed. The overall efficiency of diagnosis for all diseases was 0.95 although the validity varied from 0.79 to 1.00, the sensitivity varied from 0.73 to 0.95, and the specificity varied from 0.88 to 1.00 for individual disease categories. Equine protozoal myeloencephalitis was overdiagnosed, whereas Eastern equine encephalomyelitis, equine degenerative myeloencephalopathy, and traumatic neurologic disease were underdiagnosed. T...
Kruluc P, Nemec A.Clinically, the use of detomidine and butorphanol is suitable for sedation and deepening of analgosedation. The aim of our study was to establish the influence of detomidine used alone and a butorphanol-detomidine combination on brain activity and to evaluate and compare brain responses (using electroencephalography, EEG) by recording SEF90 (spectral edge frequency 90%), individual brain wave fractions (beta, alpha, theta and delta) and electromyographic (EMG) changes in the left temporal muscle in standing horses. Ten clinically healthy cold-blooded horses were divided into two groups of five...
Jackman BR, Baxter GM, Doran RE, Allen D, Parks AH.The medical records of 57 horses that had palmar digital neurectomy performed between 1984 and 1990 were reviewed. Neurectomies were performed either by transection and electrocoagulation (47 horses) or by the guillotine technique (10 horses). Middle-aged geldings, Quarter Horses, and Thoroughbreds were significantly over-represented when compared with the hospital population. Horses used as hunter/jumpers also appeared to be over-represented. Complications occurred in 17 (34%) of the 50 horses for which follow-up information was obtained. Recurrence of heel pain was the most common complicati...
Acone F, Botti M, Gazza F, Sanna M, Cappai MG, Bo Minelli L.The sensitive and autonomic innervation of the prostate was studied in some mammals (rat, rabbit, horse, donkey and bull) using gold chloride impregnation. In all the species considered the gland was supplied with conspicuous innervation located in the thickness of the capsule and in trabeculae. The autonomic innervation was constituted by ganglion cells of different sizes (small, medium and large), isolated or in groups of large ganglia also, always located along the course of nerve bundles. The sensitive nervous component, placed more frequently in the most superficial layer of the capsule, ...
Schröder S, Schmidt MJ, Preis S, Klumpp S, Köhler K, Kuchelmeister K, Herden C.Neurological cases, especially in foals, are rare in the daily practical work. The most common causes are traumata and infectious diseases of the central nervous system (CNS). This case report provides further insights into the wide spectrum of possible neuropathological lesions by detailing a complex malformation with unilateral neurological signs that occurred later post natum. Thus, clinicians should also be aware of malformations in case of respective neurological patients. A Hanoverian foal was presented with progressive ataxia. General and blood examination revealed no further alteration...
Ruby RE, Janes JG.The variety of neurologic diseases which affect horses makes pathologic examination of the nervous system a complex and lengthy process. An understanding of the common causes of neurologic disease, antemortem neurolocalization, and supplementation of the necropsy examination with ancillary testing will help to diagnose a large number of causes of neurologic disease. A general understanding of neuropathology and collaborative relationship with your local pathologists will aid in the definitive diagnosis of neurologic diseases.
Hoffman CJ, Clark CK.Cervical vertebral malformation (CVM) is seen in young, rapidly growing horses, and is commonly associated with a poor prognosis for racing. Objective: To examine the records of a population of Thoroughbreds with a presumptive diagnosis of CVM and to determine which radiographic findings and neurologic exam findings have an effect on these horses achieving athletic function when managed conservatively. Methods: One hundred and three thoroughbreds presumptively diagnosed with CVM and treated conservatively between 2002 and 2010. Methods: Racing records were reviewed in this retrospective study ...
Furr M, Chickering WR, Robertson J.To determine normal CSF electrophoresis patterns in horses, and to determine whether the electrophoretic scans from horses with cervical compression differ from those of neurologically normal horses. Methods: 32 horses assigned to 1 of 2 groups: neurologically normal (n = 18) or cervical compression (n = 14). Methods: CSF was collected from 18 neurologically normal horses referred to the Marion duPont Scott Equine Medical Center, and protein electrophoresis was performed to describe the normal equine CSF electrophoretogram. Results of CSF electrophoresis from 14 horses with cervical compressio...
Dorman D.The central nervous system's extrapyramidal system provides involuntary motor control to the muscles of the head, neck, and limbs. Toxicants that affect the extrapyramidal system are generally clinically characterized by impaired motor control, which is usually the result of basal ganglionic dysfunction. A variety of extrapyramidal syndromes are recognized in humans and include Parkinson's disease, secondary parkinsonism, other degenerative diseases of the basal ganglia, and clinical syndromes that result in dystonia, dyskinesia, essential tremor, and other forms of tremor and chorea. This cha...
Rousselle JC, Gillet G, Fillion G.The solubilization of the serotonergic 5HT1 and 5HT3 sites was performed with digitonin and sodium cholate at 1% (final concentration). Two binding sites for [3H]5HT were observed on rat or horse brain synaptosomal membranes solubilized with these detergents. The corresponding dissociation constants (KD) were 1-3 nM and 13-30 nM respectively. These values were closely similar to those corresponding to 5HT1 and 5HT3 sites located in intact membranes. The solubilized sites specifically bound 5HT. The effect of GTP decreasing the binding to 5HT1 sites was lost on solubilized 5HT1 sites; it was re...
McBride SD, Roberts K, Hemmings AJ, Ninomiya S, Parker MO.Stress and genotype elicit changes in impulse control in a range of species that are attributable to adaptations in both the central and peripheral nervous system. We examined aspects of this mechanism in the horse by assessing the effect of a dopamine receptor genotype (DRD4) and central dopaminergic tone (measured via spontaneous blink rate [SBR] and behavioral initiation rate [BIR]), on measures of impulsivity, compulsivity (3-choice serial reaction time task) and sympathetic/ parasympathetic system balance (heart rate variability [HRV]). Genotype did not have a significant effect on any of...
Hennemann S, de Abreu MR.Degenerative lumbar spinal stenosis is the most frequent cause of low back pain and/or sciatica in the elderly patient. Epidemiology, pathophysiology, clinical manifestations and testing are reviewed in a wide current bibliographic investigation. The importance of the relationship between clinical presentation and imaging study, especially magnetic resonance imaging (MRI), is emphasized. Prior to treatment indication, it is necessary to identify the precise location of pain, as well as the differential diagnosis between neurological and vascular lameness. Conservative treatment combining medic...
Nemeth F.Within the framework of the series 'Papers of yesterday and today', two articles on neurotomy by Moubis (1876 and 1878) are used to evaluate the present status of neurectomy. In 1800 neurotomy was replaced by neurectomy because of the reinnervation which occurred after several weeks. On the basis of a literature review and clinical experience in the Department of Large Animal Surgery the indications, conditions, anatomy, operative techniques, complications and results of neurectomy are discussed. Post-operative neuroma formation is the most important complication following palmar digital neure...
Finno CJ, Valberg SJ, Shivers J, D'Almeida E, Armién AG.Equine degenerative myeloencephalopathy (EDM) is characterized by a symmetric general proprioceptive ataxia in young horses, and is likely underdiagnosed for 2 reasons: first, clinical signs overlap those of cervical vertebral compressive myelopathy; second, histologic lesions--including axonal spheroids in specific tracts of the somatosensory and motor systems--may be subtle. The purpose of this study was (1) to utilize immunohistochemical (IHC) markers to trace axons in the spinocuneocerebellar, dorsal column-medial lemniscal, and dorsospinocerebellar tracts in healthy horses and (2) to dete...
Shchurova EN, Khudiaev AT.Temperature sense and pain appreciation has been studied in the dermatomes of cauda equine roots in patients with lumbar intervertebral disc hernia before treatment, in the immediate and long-term periods of observation after disc hernia elimination. Temperature sense and pain appreciation has been determined to be disordered not only in the dermatome of compressed root, but in the dermatomes located proximally and distally as well. The manifestation of negative changes was observed to a greater extent during temperature sense examination. After disc hernia elimination the recovery of temperat...
Bowker RM, Sonea IM, Vex KB, Caron JP.Substance P (SP) immunocytochemistry and receptor autoradiography were used to define the innervation of the equine synovial membrane of joints equivalent to the wrist and knuckle of man. SP-immunoreactive fibers were mainly concentrated around blood vessels in the subsynovial layer, although not exclusively, while in the more distal joint, SP fibers were more frequently seen in the synovial surface layer. Iodinated SP receptor autoradiography studies revealed silver grain concentrations in the advential layer of blood vessels associated with the vasa vasorum, on the vascular endothelium and i...
Talboom JS, Engler-Chiurazzi EB, Whiteaker P, Simard AR, Lukas R, Acosta JI, Prokai L, Bimonte-Nelson HA.In women, ovarian hormone loss at menopause has been related to cognitive decline, and some studies suggest that estrogen-containing hormone therapy (HT) can mitigate these effects. Recently, the Women's Health Initiative study found that conjugated equine estrogens, the most commonly prescribed HT, do not benefit cognition. Isolated components of conjugated equine estrogens (tradename Premarin(®)) have been evaluated in vitro, with delta(8,9)-dehydroestrone (∆(8)E1) and equilin showing the strongest neuroprotective profiles. It has not been evaluated whether ∆(8)E1 or equilin impact cogn...
Cutler TJ, Brooks DE, Andrew SE, Denis HM, Biros DJ, Gelatt KN, Komaromy AM, Kallberg M.The appearance of the equine fundus is reviewed from the perspective of differentiating normal variations from disease, and the descriptions have been updated to include recently published ocular fundic abnormalities. Most pathological lesions are identified near the optic nerve head, and typically involve depigmentation or hyperpigmentation. Depending upon configuration and appearance, linear pigmented bands may reflect the course of the vortex veins, the transition from tapetal to nontapetal fundus, or indicate chorioretinitis or equine motor neuron disease. Choroidal vasculature is readily ...
