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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.
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.
Immediate effects of a 30-min hippotherapy session on center of pressure displacement in children with autism spectrum disorder: A quasi-experimental study.
Journal of bodywork and movement therapies    May 31, 2025   Volume 44 190-199 doi: 10.1016/j.jbmt.2025.05.060
de Fátima Coccia V, Rodacki ALF, Pavão SL.Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder affecting sensorimotor systems, potentially disturbing postural control and stability. Considering the treatment options for these children, hippotherapy (HPOT) is based on horse movements to provide sensory stimuli and motor challenges, potentially contributing to improvements in postural control. Objective: To investigate the immediate effects of a 30-min HPOT session on the center of pressure (CoP) displacement of children with ASD (ASDG) and children with typical development (TDG). Methods: 120 children (60 ASDG; 60 TD...
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...
Accuracy of computer-assisted drilling of equine cervical vertebral bodies using a purpose-built cervical frame-An experimental cadaveric study.
Veterinary surgery : VS    May 15, 2025   Volume 54, Issue 5 898-908 doi: 10.1111/vsu.14271
Maurer T, de Preux M, Precht C, Vidondo B, Koch C.To assess the accuracy of computer-assisted surgery (CAS) of equine cervical vertebrae using a purpose-built cervical frame (CF) for neck stabilization. Methods: Experimental cadaveric study. Methods: Six whole fresh equine cadavers. Methods: Cadavers were positioned in dorsal recumbency with the neck extended within the CF. A cone-beam computed tomography (CBCT)-based surgical navigation system with optical tracking was used. A ventral approach exposed cervical vertebrae C3-C5. In each cadaver, 12 drill corridors were prepared with the patient tracker on the CF (position CF), followed by 12 c...
Intracerebral hemorrhage (hemorrhagic stroke) secondary to Bothrops spp. snakebite envenomation in a horse.
Toxicon : official journal of the International Society on Toxinology    May 14, 2025   Volume 263 108408 doi: 10.1016/j.toxicon.2025.108408
de Sousa ALV, de Sousa DER, de Macêdo IL, de Albuquerque Cerqueira L, da Fonseca YNG, Oliveira AB, das Chagas LVS, Gonçalves GB, Veado HC....This report describes the first documented case of intracerebral hemorrhage (ICH) in a horse following Bothrops snakebite envenomation. A 3-year-old mare developed acute kidney injury, systemic hemorrhage, and neurological signs before euthanasia. Postmortem findings confirmed massive ICH with intralesional venom identified by immunohistochemistry. Delayed treatment and insufficient antivenom likely contributed to the outcome. This case highlights the potential for cerebrovascular complications following Bothrops snakebite envenomation in horses, which may present as subtle neurological signs....
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
S. suis serotype 2 meningitis in a patient with horse contact in a Japanese stable: A case report.
Diagnostic microbiology and infectious disease    April 25, 2025   Volume 112, Issue 4 116868 doi: 10.1016/j.diagmicrobio.2025.116868
Oshida J, Ito H, Ubukata K, Takata M, Ohkusu K, Ohba S, Saida A, Nakamura S, Kobayashi D.Streptococcus suis is a Gram-positive zoonotic pathogen primarily associated with pigs, but its potential transmission from other animals remains unclear. We report a case of S. suis serotype 2 meningitis in a 56-year-old Filipino stable worker with no known contact with pigs but a history of direct exposure to horses. He presented with fever and persistent headache following a head injury sustained one month prior. Cerebrospinal fluid (CSF) analysis revealed bacterial meningitis, and blood and CSF cultures identified S. suis serotype 2. Despite appropriate antibiotic therapy, the patient deve...
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...
[Diagnostic imaging of the equine cervical spine – Part one: Radiography – A review of the literature on findings and their clinical significance].
Tierarztliche Praxis. Ausgabe G, Grosstiere/Nutztiere    April 15, 2025   Volume 53, Issue 2 109-119 doi: 10.1055/a-2557-0115
Hellige M, Geburek F.A number of indications exist that necessitate radiologic examination of the equine cervical spine. Different neurologic and pain-associated clinical signs within the scope of lameness or poor performance may be associated to pathologies of the cervical spine. Moreover, the number of requests for radiographic examinations of the cervical spine, for example as part of the pre-purchase examination, has increased significantly in recent years. However, the interpretation of radiographs represents a challenge, particularly in the case of clinically sound horses, as it often necessitates the resolu...
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...
Disorders of Muscle Mass and Tone.
The Veterinary clinics of North America. Equine practice    January 28, 2025   Volume 41, Issue 1 47-60 doi: 10.1016/j.cveq.2024.10.004
Aleman M.Muscle disease has various clinical manifestations that range from exertional and non-exertional rhabdomyolysis, fasciculations, weakness, rigidity, stiffness, gait abnormalities, poor performance, and alterations in muscle mass and tone. Neurogenic disorders and non-neurogenic disorders such as primary muscle disease can cause muscle atrophy and changes in muscle tone. Myotonic disorders can have a genetic (eg, inherited channelopathies) or acquired (eg, electrolyte derangements) origin. Normal muscle enzyme activities do not rule out a myopathic disorder as the underlying cause of muscle atr...
Demographic patterns in horseback riding head and neck injuries within the United States: A NEISS database study.
Injury    January 24, 2025   Volume 56, Issue 3 112167 doi: 10.1016/j.injury.2025.112167
Sharma S, Reardon LM, Guda R, Carr MM, Man LX, Alicea D.Our primary objective was to identify and describe demographic trends in head and neck injuries incurred while participating in horseback riding. Methods: Cross-sectional analysis. Methods: National Database. Methods: Head and neck injuries related to horseback riding over a ten-year period (2014-2023) were analyzed using data from the National Electronic Injury Surveillance System (NEISS). A total of 3,177 cases were identified. Inclusion criteria encompassed injuries to the head, neck, face, mouth, or ear. Variables included age, gender, injury type, anatomical location, and patient disposit...
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...
The Challenge of Defining Laterality in Horses: Is It Laterality or Just Asymmetry?
Animals : an open access journal from MDPI    January 21, 2025   Volume 15, Issue 3 288 doi: 10.3390/ani15030288
Haussler KK, le Jeune SS, MacKechnie-Guire R, Latif SN, Clayton HM.The defining characteristic of laterality is the dominance of one side of the brain controlling specific functions of paired organs or on one side of the body. Structural and functional asymmetries are ubiquitous in horses and range from anatomical features (e.g., the length of long bones) to the gathering of sensory information (e.g., which eye is used to observe unfamiliar scenes) and motor functions (e.g., left-right differences in locomotion). There is a common tendency to assign observed structural or functional asymmetries to lateralization, which often involves more than a simple left-r...
Eastern equine encephalitis virus: Pathogenesis, immune response, and clinical manifestations.
Infectious medicine    January 17, 2025   Volume 4, Issue 1 100167 doi: 10.1016/j.imj.2025.100167
Parashar B, Malviya R, Sridhar SB, Wadhwa T, Talath S, Shareef J.Eastern equine encephalitis virus (EEEV) is a lethal transmitted by mosquitoes that primarily cycles between birds. Although rare, infections in humans and horses are associated with high mortality rates and severe neurological effects. Climate change appears to be increasing the spread of this virus. This study aims to provide a comprehensive analysis of EEEV, including its transmission dynamics, pathogenesis, induced host immune response, and long-term impacts on survivors. It also highlights the virus's unique immune evasion strategies that complicate disease management and contribute to ...
Genomic analysis and replication kinetics of the closely related EHV-1 neuropathogenic 21P40 and abortigenic 97P70 strains.
Veterinary research    January 13, 2025   Volume 56, Issue 1 12 doi: 10.1186/s13567-024-01434-3
Mohamed E, Zarak I, Vereecke N, Theuns S, Laval K, Nauwynck H.Varicellovirus equidalpha 1, formerly known as Equid alphaherpesvirus 1 (EHV-1), is highly prevalent and can lead to various problems, such as respiratory problems, abortion, neonatal foal death, and neurological disorders. The latter is known as equine herpes myeloencephalopathy (EHM). Cases of EHM have significantly increased since the beginning of the twenty-first century. The genomic sequences of five isolates associated with the fatal neurological outbreak in Valencia, Spain, in 2021 were analyzed and documented. The genome and replication kinetics of the Belgian EHM isolate 21P40, associ...
A genome-wide association study for recurrent laryngeal neuropathy in the Thoroughbred horse identifies a candidate gene that regulates myelin structure.
Equine veterinary journal    January 10, 2025   doi: 10.1111/evj.14461
McGivney CL, McGivney BA, Farries G, Gough KF, Han H, Holtby AR, MacHugh DE, Katz LM, Hill EW.Equine recurrent laryngeal neuropathy (RLN) is an economically important upper respiratory tract (URT) disease with a genetic contribution to risk, but genetic variants independent of height have not been identified for Thoroughbreds. The method of clinical assessment for RLN is critical to accurately phenotype groups for genetic studies. Objective: To identify genetic risk loci for RLN in Thoroughbreds in a genome-wide association study (GWAS) following high-resolution phenotyping. Methods: Case-control. Methods: Thoroughbred horses were characterised as RLN cases and controls using resting a...
Muscle Rehabilitation Techniques and Prevention of Injury.
The Veterinary clinics of North America. Equine practice    January 8, 2025   S0749-0739(24)00103-2 doi: 10.1016/j.cveq.2024.11.010
King MR, Colla S.Rehabilitation following muscle injury is critical in restoring the equine athlete to full function. Rehabilitation protocols should be tailored to each patient's global functional assessment, taking into account sports-specific demands, goals for return-to-performance, and overall prognosis. Rehabilitation protocols are often designed to modulate pain, enhance repair, improve proprioception, increase flexibility, restore muscle strength, joint range-of-motion, and neuromotor control. This article will review mechanisms of muscle injury, various physical modalities commonly employed in the reh...
Neuropathology, pathomechanism, and transmission in zoonotic Borna disease virus 1 infection: a systematic review.
The Lancet. Infectious diseases    January 7, 2025   Volume 25, Issue 4 e212-e222 doi: 10.1016/S1473-3099(24)00675-3
Jungbäck N, Vollmuth Y, Mögele T, Grochowski P, Schlegel J, Schaller T, Märkl B, Herden C, Matiasek K, Tappe D, Liesche-Starnecker F.Borna disease, which is a severe encephalitis that primarily affects horses and sheep, has been recognised for over two centuries. Borna disease virus 1 (BoDV-1) has been identified as a cause of a predominantly fatal encephalitis in humans. Little scientific data exist regarding the virus' transmission, entry portal, and excretion routes. Lesional patterns, immunological responses, and pathogenetic mechanisms remain largely unexplored in both reservoir and dead-end hosts. This systematic review compiles current knowledge on these aspects and provides guidance for future research. PubMed, Scie...