Complex central nervous system malformations in a Dutch Warmblood foal.
Abstract: A neonatal Dutch Warmblood colt was evaluated for inability to stand, incoordination and intention tremor. Despite partial improvement in clinical signs during the first 4 days of hospitalization, neurological deficits remained. Magnetic resonance imaging identified a unilateral infratentorial arachnoid cyst-like lesion with ipsilateral compression and displacement of the cerebellar hemisphere, absent corpus collosum, polymicrogyria, suspect leukoencephalopathy, and noncompressive occipitoatlantal malformation. Improvement in clinical signs during the first 6 months of life suggests that horses can survive with complex congenital neurological malformations, but prognosis for athletic performance is poor. The accessibility of magnetic resonance imaging should improve the diagnostic accuracy of central nervous system disorders in neonatal foals in which congenital malformations are suspected. Euthanasia often is elected in foals with suspected congenital central nervous system disorders because of poor prognosis for athletic performance, limiting understanding of clinical progression in these cases.
© 2022 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine.
Publication Date: 2022-04-01 PubMed ID: 35362641PubMed Central: PMC9151493DOI: 10.1111/jvim.16407Google Scholar: Lookup
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- Case Reports
- Journal Article
- Case Reports
- Clinical Examination
- Clinical Pathology
- Clinical Signs
- Clinical Study
- Congenital Disorders
- Diagnosis
- Diagnostic Imaging
- Disease Diagnosis
- Equine Health
- Euthanasia
- Foals
- Horses
- Hospitalization
- Magnetic Resonance Imaging
- Nervous System
- Neurological Diseases
- Prognosis
- Veterinary Care
- Veterinary Medicine
- Warmblood Horses
Summary
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This research focuses on a neonatal Dutch Warmblood foal who was unable to stand and demonstrated signs of incoordination and tremors. Through the use of magnetic resonance imaging (MRI), various complex congenital neurological malformations were detected. Despite poor prognosis for athletic performance, the foal showed signs of improvement in the first six months.
Research Case Background
- The research revolves around a neonatal Dutch Warmblood foal who was unable to stand up due to its incoordination and tremors. Despite documenting some improvement over the first four days in the hospital, the horse still showed existing neurological deficiencies.
Methodology and Findings
- MRI scans were used to diagnose the foal’s condition. The MRI test was more effective in revealing the complexities of the central nervous system disorder in this case.
- The imaging identified a unilateral infratentorial arachnoid cyst-like lesion with related compression and displacement of the cerebellar hemisphere.
- Other abnormalities included a missing corpus collosum, polymicrogyria (condition where the brain has many irregular folds), suspect leukoencephalopathy (White matter disease), and a noncompressive occipitoatlantal malformation.
Clinical Progression and Prognosis
- Even though the initial prognosis for athletic performance was grim, the researchers saw substantial improvements during the first six months of life, suggesting that horses can survive complex congenital neurological malformations. However, their chances for a viable career in athletic performance are limited.
- Since many horses suspected of having congenital central nervous system disorders are often put down due to a poor prognosis, the researchers were able to gain deeper insights into the clinical progression of the disorder in this study.
Implications and Conclusions
- This study highlights the importance of MRI testing in diagnosing and understanding central nervous system malformations. With wider availability of MRI testing, veterinary practitioners may improve the accuracy of diagnosing these disorders in neonatal foals.
- The findings indicate that there may be potential for horses born with such malformations to still lead a life, albeit not in athletics.
- Finally, the knowledge acquired through this particular case can provide valuable insights for similar cases in the future, improving overall understanding and management of congenital central nervous system disorders in foals.
Cite This Article
APA
Louie EW, Streeter R, Story M, Scrivani PV, Barrett M, Mullen KR.
(2022).
Complex central nervous system malformations in a Dutch Warmblood foal.
J Vet Intern Med, 36(3), 1173-1178.
https://doi.org/10.1111/jvim.16407 Publication
Researcher Affiliations
- Littleton Equine Medical Center, Littleton, Colorado, USA.
- Littleton Equine Medical Center, Littleton, Colorado, USA.
- Clinical Sciences Department, Colorado State University College of Veterinary Medicine and Biological Sciences, Fort Collins, Colorado, USA.
- Cornell University College of Veterinary Medicine Department of Clinical Sciences, Ithaca, New York, USA.
- Department of Environmental and Radiological Health Sciences, Fort Collins, Colorado, USA.
- Littleton Equine Medical Center, Littleton, Colorado, USA.
MeSH Terms
- Animals
- Arachnoid Cysts / veterinary
- Central Nervous System Diseases / veterinary
- Horse Diseases / diagnostic imaging
- Horse Diseases / pathology
- Horses
- Magnetic Resonance Imaging / veterinary
- Male
- Nervous System Malformations / diagnosis
- Nervous System Malformations / veterinary
Conflict of Interest Statement
Authors declare no conflict of interest.
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