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Topic:Veterinary Medicine

Veterinary medicine for horses encompasses the study and application of medical practices to diagnose, treat, and prevent diseases in equine species. This field involves a comprehensive understanding of equine anatomy, physiology, pathology, and pharmacology. Veterinary practitioners employ a range of diagnostic tools and therapeutic interventions to address health issues in horses, including lameness, gastrointestinal disorders, respiratory conditions, and infectious diseases. Preventative care, such as vaccination and deworming programs, is also a significant aspect of equine veterinary medicine. This page gathers peer-reviewed research studies and scholarly articles that explore various aspects of veterinary medicine as it pertains to horses, including advancements in diagnostic techniques, treatment protocols, and preventive health strategies.
Monitoring Pathogens in Free-Living Large Herbivores in a Nature Reserve in the Netherlands.
Transboundary and emerging diseases    August 8, 2025   Volume 2025 6948049 doi: 10.1155/tbed/6948049
Marcelino I, Keizer J, Monti G, Cornelissen P, Santman-Berends I, Lam JH, van der Poel WHM.Monitoring and surveillance of pathogens are crucial for safeguarding animal and public health. While passive surveillance is more common for wild and free-living animals, active monitoring improves the detection and characterisation of specific pathogens relevant to animal and public health. In the (OVP) nature reserve in the Netherlands, an active monitoring system for Heck cattle (), Konik horses () and red deer () has been in place since 1997. This study utilised the data generated from the monitoring system to estimate pathogen prevalence and to evaluate the ongoing monitoring efforts. Y...
Taylorella equigenitalis infections in Poland – results of current diagnostic investigations.
Journal of veterinary research    August 7, 2025   Volume 69, Issue 3 339-344 doi: 10.2478/jvetres-2025-0040
Wasiński B, Złotnicka J, Kubajka M, Olejarczyk M, Szulowski K.Contagious equine metritis (CEM) is a cosmopolitan infectious, venereal disease of equids caused by the bacterium . Its frequently asymptomatic course leads to its prevalence sometimes being underestimated, and knowledge of the spread of infections with its causative agent is insufficient. The aim of this study is to summarise and present data on the incidence of infections in horses in Poland. Unassigned: In the years 2018-2023, routine laboratory tests of horses for CEM were carried out. Between 52 and 99 horses were examined annually. Swabs from the external parts of the urogenital system ...
Correction: Horse handlers’ knowledge, attitudes, and perceptions of African horse sickness in South-West, Nigeria.
Scientific reports    August 7, 2025   Volume 15, Issue 1 28899 doi: 10.1038/s41598-025-14926-9
Akinniyi OO, Lawal TR, Rufai N, Jolayemi KO, Amaje J.No abstract available
Probing Wnt pathway and functional signal in equine melanocytic neoplasms through quantitative proteomics and immunohistochemistry.
BMC veterinary research    August 7, 2025   Volume 21, Issue 1 509 doi: 10.1186/s12917-025-04956-w
Tesena P, Vinijkumthorn R, Kingkaw A, Yanyongsirikarn P, Phasuk K, Ploypetch S, Phaonakrop N, Roytrakul S, Vongsangnak W, Prapaiwan N.Equine melanocytic neoplasm (EMN) is a skin tumor commonly observed in grey horses. Limited research has yet to investigate proteomic profiles of EMN, particularly in the early stages and their expression patterns. This study, therefore, aimed to identify signature proteins from tissue biopsies to distinguish early EMN, severe EMN, and normal groups. Results: Using proteomic analysis of 19 tissue samples (normal: n = 6, early EMN: n = 7, severe EMN: n = 6) through LC-MS/MS, 12,310 proteins were identified. Differentially expressed proteins (DEPs) and functional interaction analysi...
Clinical insights: Musculoskeletal disorders of the sports horse.
Equine veterinary journal    August 6, 2025   Volume 57, Issue 5 1152-1160 doi: 10.1111/evj.14553
Morgan R, Ortved K, Clayton HM, Oosterlinck M.No abstract available
Amputations and Avulsion Injuries due to Human/Equine Interaction.
Wilderness & environmental medicine    August 6, 2025   10806032251361904 doi: 10.1177/10806032251361904
Loder RT, Walker AL, Blakemore LC.IntroductionAmputations and avulsion injuries due to horse-associated activity are rare, yet they can result in significant impairment. The purpose of this study was to further investigate such injuries using a national emergency department database.MethodsThe US National Electronic Injury Surveillance System (NEISS) was used to identify horse-associated amputation and avulsion injuries occurring between 2000-2023. Demographic data of age, sex, and injury details were collected.ResultsThere were 34,091 emergency department visits for equine-associated injuries, with 120 (0.35%) due to amputati...
Serological differentiation of West Nile, Usutu, and tick-borne encephalitis virus antibodies in birds and horses using mutant E protein ELISAs.
Scientific reports    August 6, 2025   Volume 15, Issue 1 28752 doi: 10.1038/s41598-025-14448-4
Schwarzer A, Ziegler U, Fertey J, Kreuz M, Vahlenkamp TW, Groschup MH, Ulbert S.West Nile virus (WNV), Usutu virus (USUV) and tick-borne encephalitis virus (TBEV) are worldwide endemic zoonotic orthoflaviviruses, often co-circulating in the same areas. Serological studies in animals, mostly birds and horses, are important means to monitor the spread of these viruses and the infection risks for humans. However, cross-reactive antibodies to these structurally similar flaviviruses frequently impact serological differentiation in enzyme-linked immunosorbent assays (ELISAs), hence time-consuming virus neutralization tests (VNTs) have to be employed in laboratories with high bi...
Cannabinoid Receptors in the Horse Lateral Nucleus of the Amygdala: A Potential Target for Ameliorating Pain Perception, Stress and Anxiety in Horses.
International journal of molecular sciences    August 6, 2025   Volume 26, Issue 15 7613 doi: 10.3390/ijms26157613
Bombardi C, Salamanca G, Tagliavia C, Grandis A, Zamith Cunha R, Gramenzi A, De Silva M, Zannoni A, Chiocchetti R.The amygdala is composed of several nuclei, including the lateral nucleus which is the main receiving area for the input from cortical and subcortical brain regions. It mediates fear, anxiety, stress, and pain across species. Evidence suggests that the endocannabinoid system may be a promising target for modulating these processes. Cannabinoid and cannabinoid-related receptors have been identified in the amygdala of rodents, carnivores, and humans, but not in horses. This study aimed to investigate the gene expression of cannabinoid receptors 1 (CB1R) and 2 (CB2R), transient receptor potential...
Science-in-brief: Report on the 2nd Dorothy Russell Havemeyer Foundation workshop on acute colitis of the adult horse.
Equine veterinary journal    August 6, 2025   doi: 10.1111/evj.14554
Arroyo LG, Whitehead AE, Uzal F.No abstract available
Intervertebral fusion for the repair of articular cervical fractures in three horses.
Veterinary surgery : VS    August 6, 2025   doi: 10.1111/vsu.70000
Campos Schweitzer A, Vercherin A, Rossignol F.To report successful stabilization of three cervical fracture types with articular involvement using different ventral cervical intervertebral fusion constructs. Methods: A 9-year-old French sport pony gelding, a 5-year-old Anglo-Arabian gelding and a 2-year-old French Warmblood mare. Methods: Short case series. Methods: Ventral cervical intervertebral fusion was performed in three cervical fracture cases: A vertebral body, a vertebral arch and a unilateral facet joint fracture. Selected implants for this purpose were an 11-hole 4.5/5.0 LCP, a three-dimensional (3D)-printed titanium cervical i...
LMF1 frameshift deletion in Franches-Montagnes horses with hypertriglyceridemia-induced pancreatitis.
Scientific reports    August 6, 2025   Volume 15, Issue 1 28667 doi: 10.1038/s41598-025-13954-9
Drögemüller M, Fouché N, Wyler M, Gurtner C, Meister SL, Neuditschko M, Jagannathan V, Gerber V, Leeb T.Hypertriglyceridemia (HTG) may be inherited and caused by variants in genes encoding enzymes of lipid metabolism. This study was prompted by the observation of eight Franches-Montagnes (FM) foals showing elevated plasma triglyceride levels and episodes of fatal acute pancreatitis. We termed this phenotype hypertriglyceridemia-induced pancreatitis (HIP). The affected foals were distantly related and inbred to a prominent stallion suggesting autosomal recessive inheritance. Whole genome sequencing of an affected foal identified a homozygous loss of function variant in LMF1 encoding lipase matura...
Management of retained fetal membranes by umbilical vessel infusion in mares submitted to elective C-section.
Journal of equine veterinary science    August 6, 2025   Volume 153 105662 doi: 10.1016/j.jevs.2025.105662
Neto ME, Curcio BR, Rafael LA, Pivato GM, Silva GC, Souza RP, Mousquer MA, Nogueira CEW.The cesarian section (C-section) is a potential risk factor for retained fetal membranes (RFM) in mares, requiring prompt diagnosis and treatment to enhance outcomes. This study aimed to evaluate the use of umbilical vessel infusion for the treatment of RFM after elective C-section in mares. Ten pregnant criollo type-mares at 315 days of gestation were monitored daily and underwent elective C-section upon readiness for birth. All mares exhibited RFM, with placentas retained beyond three hours careful extraction of the foal by C-section. Those were randomly assigned into two groups: Umbilical v...
The effect of cervical epidural injection of morphine and the combination of morphine and detomidine on recovery from anesthesia in adult horses.
Veterinary anaesthesia and analgesia    August 6, 2025   Volume 52, Issue 6 779-785 doi: 10.1016/j.vaa.2025.07.012
Carroll AT, Reed RA, Perlini M, Clough AE, Rocha M, Moorman VJ.To evaluate the effect of cervical epidural injection of morphine alone and morphine in combination with detomidine on recovery from anesthesia in horses. Methods: Blinded, randomized, crossover, Latin square design. Methods: A group of six healthy adult horses aged 9 ± 3 years and weighing 471 ± 76 kg (mean ± standard deviation). Methods: Horses were administered each of three treatments during a 1 hour general anesthetic with a 4 day washout period. Treatments were: 1) cervical epidural injection of saline 0.011 mL kg (S); 2) morphine 0.1 mg kg (M); and 3) morphine 0.1 mg kg with detomidi...
Neoplastic and non-neoplastic swellings of the external genitalia in horses and donkeys: clinical, histopathological, and treatment outcomes.
Frontiers in veterinary science    August 5, 2025   Volume 12 1613601 doi: 10.3389/fvets.2025.1613601
El-Shafaey ES, Hamed M, Amin Y, Alkhodair KM, Shousha S, Aljazzar A, El Sebaei MG, Mosbah E.External genitalia swellings represent diagnostic and treatment challenges in equids. Thus, the present study aimed to describe the clinical, histopathological, and treatment outcomes of external genitalia swellings in horses and donkeys. Unassigned: Seventy-five equids (49 horses and 26 donkeys) from 6 months to 8 years were enrolled based on the clinical evidence of external genital swellings. The descriptive details, including sex, age, lesion location, and treatment outcomes, for each case were recorded and analyzed. Unassigned: Twenty forms of external genital swellings were recorded ...
A Markerless Approach for Full-Body Biomechanics of Horses.
Animals : an open access journal from MDPI    August 5, 2025   Volume 15, Issue 15 2281 doi: 10.3390/ani15152281
Shaffer SK, Medjaouri O, Swenson B, Eliason T, Nicolella DP.The ability to quantify equine kinematics is essential for clinical evaluation, research, and performance feedback. However, current methods are challenging to implement. This study presents a motion capture methodology for horses, where three-dimensional, full-body kinematics are calculated without instrumentation on the animal, offering a more scalable and labor-efficient approach when compared with traditional techniques. Kinematic trajectories are calculated from multi-camera video data. First, a neural network identifies skeletal landmarks (markers) in each camera view and the 3D location...
Plasma Estradiol and Endometrial Edema Profile in Acyclic Mares After Single Administration of 17-β Estradiol, Estradiol Benzoate and Estradiol Cypionate.
Reproduction in domestic animals = Zuchthygiene    August 5, 2025   Volume 60, Issue 8 e70108 doi: 10.1111/rda.70108
Barbosa LA, Maran AP, de Almeida MER, Guimarães EC, Bringel B, Douglas RH, Lima TFG, da Silva ESM.A longer endometrial exposure to estradiol before progesterone has been shown to be beneficial in cyclic and acyclic recipient mares. Therefore, the selection of an estradiol ester that promotes longer endometrial exposure to estradiol using a single administration would be advantageous when preparing acyclic mares as embryo recipients. This study investigated plasma estradiol profiles in acyclic mares after a single administration of 17-β estradiol (17-β), estradiol benzoate (EB) and estradiol cypionate (EC), and the correlation between plasma concentrations and endometrial edema. Fifteen n...
Canagliflozin: Pharmacokinetics, tolerability and glucose/insulin effects of supratherapeutic doses in healthy horses.
Veterinary journal (London, England : 1997)    August 5, 2025   Volume 313 106412 doi: 10.1016/j.tvjl.2025.106412
Michanek P, Bröjer J, Lilliehöök I, Fjordbakk C, Erkas M, Löwgren M, Hedeland M, Bergquist J, Ekstrand C.Sodium-glucose co-transporter 2 inhibitors like canagliflozin (CFZ) have shown promise in preventing hyperinsulinemia-associated laminitis in horses, but data on pharmacokinetics, tolerability, and controlled studies are limited. This randomized, open-label, placebo-controlled, crossover study evaluated these aspects of CFZ treatment in eight healthy Standardbred mares. Each horse received single supratherapeutic oral doses of CFZ (1.8 mg/kg or 3.6 mg/kg) and placebo, with a two-week washout between treatments. A graded glucose infusion (GGI) was administered post-treatment to evaluate glu...
The effect of topical antibiotic or antibiotic-corticosteroid treatment on the ocular surface microbiota of healthy horses.
Frontiers in microbiology    August 4, 2025   Volume 16 1535095 doi: 10.3389/fmicb.2025.1535095
Martin de Bustamante MG, Plummer CE, Caddey B, Gomez DE.Information regarding the impact of topical antibiotics with or without corticosteroids on the microbiota of the horses' eyes is limited. This study aimed to describe the bacterial ocular surface microbiota in healthy horses and evaluate the effect of topical antibiotics or antibiotic-corticosteroid medication on the ocular surface microbiota. Unassigned: This was a prospective, randomized, longitudinal, blinded study in which one eye of 12 horses was treated 3 times daily for 7 days with neomycin, polymyxin B and bacitracin ophthalmic ointment ( = 6) or neomycin, polymyxin B and dexametha...
Mapping Bornavirus encephalitis-A comparative study of viral spread and immune response in human and animal dead-end hosts.
PLoS pathogens    August 4, 2025   Volume 21, Issue 8 e1013400 doi: 10.1371/journal.ppat.1013400
Vollmuth Y, Jungbäck N, Grochowski P, Mögele T, Stark L, Zarrabi NS, Schlegel J, Schaller T, Märkl B, Matiasek K, Liesche-Starnecker F.Borna disease virus 1 (BoDV-1) has long been recognized as a cause of fatal encephalitis in animals and was only recently identified as a zoonotic pathogen causing a similar disease in humans. This study provides the first comprehensive comparative analysis of BoDV-1-induced neuropathology in human and animal end hosts, including horses, sheep, and alpacas. Using immunohistochemical analyses, we investigated the topographical distribution of BoDV-1 and inflammatory responses in the central nervous system across 19 cases. Key findings reveal distinct differences and overlaps between humans and ...
Surgical Assessment and Post-Operative Complications Following Video-Assisted Thoracoscopic Surgery (VATS) of Horses with Severe Equine Pasture Asthma During Asthma Exacerbation and Remission.
Animals : an open access journal from MDPI    August 4, 2025   Volume 15, Issue 15 2276 doi: 10.3390/ani15152276
Wenzel CJ, Mochal-King CA, Eddy AL, Bowser JE, Wills RW, Jumper WI, Claude A, Swiderski CE.The aim of this retrospective clinical study was to assess surgical duration and surgical and post-operative complications associated with Video-Assisted Thoracoscopic Surgery (VATS) and lung biopsy in horses with severe Equine Pasture Asthma (EPA) and paired control horses. Twelve horses (6 EPA-affected, 6 control) were sex, age and breed matched. Twenty-four thoracic surgeries were performed. Surgery of each matched pair (EPA-affected and healthy) was performed during asthma exacerbation (summer) and remission (winter). Surgical times were shorter with uncomplicated thoracoscopy (85 min) and...
The Use of Sound Recorders to Remotely Measure Grass Intake Behaviour in Horses.
Animals : an open access journal from MDPI    August 4, 2025   Volume 15, Issue 15 2273 doi: 10.3390/ani15152273
Taylor DEF, Lancaster BE, Ellis AD.Visual observation to record grass intake is time-consuming and labour-intensive. Technological methods, such as activity monitors, have been used but only record head position. This study aimed to evaluate sound recorders attached to headcollars to acoustically measure grass intake behaviour in horses as a low-cost alternative method. Pilot Study 1 assessed 6 × 11 min periods comparing bites/min and chews/min between video footage (VD) and sound recorders (SR). Grazing was identified audibly (SR) and visually through soundwave pattern software (SR). Chew rates (SR: 47 ± 5 chews/min, VD: 43 ...
α2-Macroglobulin Concentrations in Canine and Equine Serum Donors.
Veterinary ophthalmology    August 4, 2025   doi: 10.1111/vop.70057
Zimmerman KL, Diehl KA.To determine if serum α2-macroglobulin (A2M) concentration varies based on donor species-canine or equine-and signalment. Methods: Serum A2M concentration ([A2M]) was measured in healthy dogs (n = 30) and horses (n = 31) using species-specific ELISAs. Results: Canine and equine [A2M] median (IQR; range) were 98.70 ng/mL (92.79 ng/mL; 34.33-696.18 ng/mL) and 557 000 ng/mL (437 900 ng/mL; 62 600-3 042 900 ng/mL), respectively. Equine [A2M] was significantly higher than canine [A2M]. Depending on the statistical analysis performed, sex had either no statistical (p...
Seroprevalence of equine leptospirosis in Poland (2019-2023).
Equine veterinary journal    August 4, 2025   doi: 10.1111/evj.70069
Żmudzki J, Ostrowska M, Arent Z, Frant M, Kochanowski M, Nowak A, Zębek S, Kalinowski D, Podgórska K.Leptospirosis in horses is associated with various clinical signs, potentially leading to fatal outcomes. Additionally, the disease may pose a zoonotic risk to individuals involved in handling infected animals. Implementing a serological monitoring programme in the equine population is one of the key tools used to reduce the risk of transmission of Leptospira infections to humans. Objective: To provide new insights into the seroprevalence of leptospirosis in domestic horses in Poland. Methods: Serological monitoring program. Methods: Data were collected from serological surveys of horse serum ...
Isolation of vapA-positive Rhodococcus equi from soil and fecal samples in Mongolia.
The Journal of veterinary medical science    August 4, 2025   doi: 10.1292/jvms.25-0267
Ganbaatar O, Ganzorig S, Tseren-Ochir EO, Suzuki Y, Takai S.In 2024, 90 soil samples and 11 fecal samples were collected from nine Mongolian provinces. Using NANAT selective agar, R. equi was successfully isolated from 23 soil samples (25.6%) across five provinces and from three fecal samples (27.3%) collected in two provinces. A total of 122 isolates were identified as R. equi via choE-targeted polymerase chain reaction (PCR) and subsequently screened for virulence-associated genes (vapA, vapB, and vapN) by PCR. Of these, 17 isolates tested positive for the vapA gene, while the remaining 105 isolates were negative for both vapB and vapN. Plasmid prof...
Evolution of in vitro antimicrobial resistance at an equine hospital over 4 decades.
The Canadian veterinary journal = La revue veterinaire canadienne    August 1, 2025   Volume 66, Issue 8 903-910 
Symoens A, Gauthier ML, Paillette L, Allano M, Lavoie JP, Leclère M.This study aimed to document antimicrobial resistance patterns of bacteria frequently isolated at a referral equine hospital between 2020 and 2022 and to compare these results to those of studies carried out in previous decades at the same reference center. Unassigned: Using the Kirby-Bauer method, 340 tests were completed on bacterial isolates and compared to 233, 255, and 396 tests carried out in 1986 to 1988, 1996 to 1998, and 2007 to 2013, respectively. Data were analyzed with tests for trends, followed by pairwise Fisher tests and Bonferroni corrections. Unassigned: Increasing resistanc...
An Ultrasound-Guided Thoracolumbar Erector Spinae Plane Block: An Experimental Preliminary Study in Horses.
Animals : an open access journal from MDPI    August 1, 2025   Volume 15, Issue 15 2264 doi: 10.3390/ani15152264
Medina-Bautista F, Nocera I, Sánchez de Medina A, Di Franco C, Briganti A, Morgaz J, Granados MDM.The objective of this study was to evaluate the feasibility and efficacy of the ultrasound-guided thoracolumbar erector spinae plane (TL-ESP) block in standing horses. A total of 24 injections ( = 12) were performed at the L1 level using either 0.1 mL/kg of saline solution (SS group) or 2% lidocaine (LID group). The block feasibility was assessed based on needle visualization and injection time, while efficacy was evaluated through craniocaudal and dorsoventral (DV) spread using the pinprick technique over 270 min. Desensitization was observed at least once in 100% of horses in the LID group a...
Clinical evaluation of the ADVIA Centaur XPT chemiluminescent immunoassay for equine insulin measurement.
Journal of equine veterinary science    July 31, 2025   Volume 152 105661 doi: 10.1016/j.jevs.2025.105661
Rey-Conejo R, Toribio RE, Möller S, Müller E, Fores-Jackson P.Insulin dysregulation is a key component of equine metabolic syndrome and is commonly assessed using basal insulin concentrations. Different analyzers may yield variable insulin results, limiting comparability. Objective: To assess the analytical performance of the ADVIA Centaur XPT chemiluminescent immunoassay (CLIA) for equine insulin measurement and to establish adapted decision thresholds based on comparison with a previously used CLIA method. Methods: Precision, linearity, and dilution recovery were assessed for the ADVIA Centaur XPT. A total of 89 equine serum samples submitted for basal...
Sedative effects of detomidine and midazolam combination in horses.
Open veterinary journal    July 31, 2025   Volume 15, Issue 7 2938-2947 doi: 10.5455/OVJ.2025.v15.i7.5
Gomes ÉR, Felix LA, Gonzaga LWF, da Silva NFD, Soares BCF, de Almeida JVFC, Souza GP, Pereira RN, Taffarel MO, Ferrante M.The combination of detomidine and midazolam may provide safer sedation with muscle-relaxant effects, which are particularly necessary during standing procedures. Unassigned: Thus, the objective of this study was to evaluate the sedative and muscle-relaxant effects of the detomidine/midazolam combination in horses through a pharmacodynamic study. Unassigned: Five horses were used and subjected to four experimental protocols: 15 µg/kg of detomidine (D15); a combination of detomidine (15 µg/kg) with 25 µg/kg (DM25), 50 µg/kg (DM50), or 75 µg/kg (DM75) of midazolam administered intravenously....
Isolation, identification and comparative genomic analysis of Lactobacillus salivarius from Mongolian horse vagina.
Frontiers in microbiology    July 31, 2025   Volume 16 1635639 doi: 10.3389/fmicb.2025.1635639
Zhao Y, Liu Y, Tao J, Cao J, Lin Y, He Q, Fang X, Yun S, Du M, Su S, Bao T, Bai D, Zhang X, Dugarjaviin M.Reproductive health in mares is pivotal for the sustainability of the equine industry, yet vaginal microbiota dysbiosis remains an underrecognized contributor to infections such as endometritis and bacterial vaginosis. While spp. dominate healthy vaginal ecosystems in humans and livestock, their role in equine reproductive health, particularly in resilient breeds like Mongolian mares, is poorly understood. This study aimed to isolate and characterize a novel strain from the vaginal microbiota of healthy Mongolian mares and evaluate its probiotic potential for mitigating equine reproductive d...
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...