Analyze Diet
Journal of veterinary internal medicine2013; 27(6); 1571-1580; doi: 10.1111/jvim.12191

Sensory nerve conduction and somatosensory evoked potentials of the trigeminal nerve in horses with idiopathic headshaking.

Abstract: Idiopathic headshaking (HSK) in horses is a distressing disorder in which the etiology and pathophysiology are unknown. Objective: Differences in sensory function of the trigeminal nerve exist between healthy and affected horses. Methods: Six healthy mature geldings and 6 mature geldings with idiopathic HSK. Methods: Prospective study. Sensory nerve action and somatosensory evoked potentials studies were performed. The stimulus site comprised the gingival mucosa dorsal to the maxillary canine. A pair of recording electrodes was placed along the sensory pathway of the trigeminal complex at the infraorbital nerve (R1), maxillary nerve (R2), spinal tract of trigeminal (R3), and somatosensory cortex (R4). Sensory nerve action potential latency (ms), amplitude (μV), duration (ms), area under the curve (μVms), and conduction velocity (m/s) were calculated. Results: Threshold for activation of the infraorbital branch of the trigeminal nerve was significantly different between 5 affected (≤ 5 mA) and 6 control horses (≥ 10 mA). After initiation of an action potential, there were no differences in all parameters measured and no differences between left and right sides. A horse with seasonal HSK tested during a time of no clinical manifestations showed a threshold for activation similar to control horses. Conclusions: This study confirms involvement of the trigeminal nerve hyperexcitability in the pathophysiology of disease. Further, results might support a functional rather than a structural alteration in the sensory pathway of the trigeminal complex that can be seasonal. The horse could serve as a natural animal model for humans with idiopathic trigeminal neuralgia.
Publication Date: 2013-09-20 PubMed ID: 24107198DOI: 10.1111/jvim.12191Google Scholar: Lookup
The Equine Research Bank provides access to a large database of publicly available scientific literature. Inclusion in the Research Bank does not imply endorsement of study methods or findings by Mad Barn.
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

This research summary has been generated with artificial intelligence and may contain errors and omissions. Refer to the original study to confirm details provided. Submit correction.

This research article investigates the significance of sensory nerve activity and evoked potentials of the trigeminal nerve in horses suffering from idiopathic headshaking. The researchers tested the nerve’s activity in healthy horses and compared it to those with the disorder, finding meaningful differences which might signify trigeminal nerve hyperactivity in the affected horses.

Details of the Study

  • The study aimed to find out if there were differences in the sensory function of the trigeminal nerve in healthy horses versus those suffering from idiopathic headshaking (HSK), a disorder yet to be fully understood in terms of cause and physiological effects.
  • Twelve horses, both healthy and those affected by the HSK, were used in the study, which is prospective in nature.
  • The researchers evaluated the sensory nerve action and somatosensory evoked potentials of the horses, with the stimulus being applied to the mucosa dorsal to the maxillary canine.
  • The sensory path of the trigeminal complex was traced and recorded using electrodes at various points (infraorbital nerve, maxillary nerve, spinal tract of trigeminal, and somatosensory cortex).

Results

  • The researchers discovered a significant difference in the threshold for activation of the trigeminal nerve between the affected horses (≤ 5 mA) and the healthy ones (≥ 10 mA).
  • Post-activation, no differences in nerve action potential parameters were observed between the groups or between the left and right sides of the individual horses.
  • Interestingly, a horse showing seasonal symptoms of HSK had an activation threshold similar to the control group when tested during a symptom-free period.

Conclusions

  • This study supports the hypothesis of trigeminal nerve hyperexcitability being involved in the pathophysiology of idiopathic headshaking.
  • The findings also suggest that the disease may induce functional changes in the sensory pathway of the trigeminal complex rather than permanent structural alterations, evidenced by variability in symptoms across seasons.
  • Moreover, the research posits that horses could potentially serve as a natural model for studying similar conditions in humans, such as idiopathic trigeminal neuralgia.

Cite This Article

APA
Aleman M, Williams DC, Brosnan RJ, Nieto JE, Pickles KJ, Berger J, Lecouteur RA, Holliday TA, Madigan JE. (2013). Sensory nerve conduction and somatosensory evoked potentials of the trigeminal nerve in horses with idiopathic headshaking. J Vet Intern Med, 27(6), 1571-1580. https://doi.org/10.1111/jvim.12191

Publication

ISSN: 1939-1676
NlmUniqueID: 8708660
Country: United States
Language: English
Volume: 27
Issue: 6
Pages: 1571-1580

Researcher Affiliations

Aleman, M
  • Department of Medicine and Epidemiology, School of Veterinary Medicine, University of California, Davis, CA.
Williams, D C
    Brosnan, R J
      Nieto, J E
        Pickles, K J
          Berger, J
            Lecouteur, R A
              Holliday, T A
                Madigan, J E

                  MeSH Terms

                  • Animals
                  • Area Under Curve
                  • Electric Stimulation
                  • Evoked Potentials, Somatosensory / physiology
                  • Head / innervation
                  • Head / physiopathology
                  • Horse Diseases / physiopathology
                  • Horses
                  • Male
                  • Neural Conduction / physiology
                  • Prospective Studies
                  • Seasons
                  • Trigeminal Nerve / physiopathology

                  Citations

                  This article has been cited 24 times.
                  1. Heun F, Delarocque J, Feige K, Hellige M. Trigeminal Nerve Asymmetry in Horses With Idiopathic Trigeminal-Mediated Headshaking: A Retrospective Case-Control Magnetic Resonance Imaging Study. J Vet Intern Med 2025 Sep-Oct;39(5):e70196.
                    doi: 10.1111/jvim.70196pubmed: 40739903google scholar: lookup
                  2. de Preux M, Precht C, Becker R, Stieglitz L, Easley J, Koch C. Navigated minimally invasive puncture of the trigeminal cistern in horses-a cadaveric study in preparation for a controlled rhizotomy. Front Vet Sci 2025;12:1562404.
                    doi: 10.3389/fvets.2025.1562404pubmed: 40586033google scholar: lookup
                  3. Lloyd-Edwards RA, Mulders E, Sloet van Oldruitenborgh-Oosterbaan MM, Veraa S. Computed Tomography of the Hyoid Apparatus in Equine Headshaking Syndrome. Vet Sci 2025 May 23;12(6).
                    doi: 10.3390/vetsci12060511pubmed: 40559747google scholar: lookup
                  4. Franzen V, Reisbeck D, Leibl Y, Schoster A, May A. Pain Assessment of Horses With Trigeminal-Mediated Headshaking (TMHS) at Rest Between Episodes. J Vet Intern Med 2025 May-Jun;39(3):e70064.
                    doi: 10.1111/jvim.70064pubmed: 40168040google scholar: lookup
                  5. Franzen V, Gruber NA, Klußmann S, Schoster A, May A. Effect of repetitive transcranial magnetic stimulation on trigeminal-mediated headshaking in 17 horses. J Vet Intern Med 2024 Sep-Oct;38(5):2758-2765.
                    doi: 10.1111/jvim.17194pubmed: 39264234google scholar: lookup
                  6. Becker R, Haenssgen K, Precht C, Khoma OZ, Hlushchuk R, Koch C, Kaessmeyer S, de Preux M. An anatomical study of the subarachnoid space surrounding the trigeminal ganglion in horses-in preparation for a controlled glycerol rhizotomy in equids. Front Vet Sci 2024;11:1424890.
                    doi: 10.3389/fvets.2024.1424890pubmed: 39091385google scholar: lookup
                  7. Pickles KJ, Marlin DJ, Williams JM, Roberts VLH. Use of a poll-mounted accelerometer for quantification and characterisation of equine trigeminal-mediated headshaking. Equine Vet J 2025 May;57(3):645-653.
                    doi: 10.1111/evj.14132pubmed: 39020521google scholar: lookup
                  8. Nessler JN, Delarocque J, Kloock T, Twele L, Neudeck S, Meyerhoff N, Riese F, Cavalleri JV, Tipold A, Feige K, Niebuhr T. Sensory nerve conduction stimulus threshold measurements of the infraorbital nerve and its applicability as a diagnostic tool in horses with trigeminal-mediated headshaking. BMC Vet Res 2024 May 16;20(1):201.
                    doi: 10.1186/s12917-024-04068-xpubmed: 38750534google scholar: lookup
                  9. Kloock T, Hellige M, Kloock A, Feige K, Niebuhr T. Application of the HRE-S to 140 horses with trigeminal-mediated headshaking and the association of clinical signs with diagnosis, therapy, and outcome. Front Vet Sci 2024;11:1329054.
                    doi: 10.3389/fvets.2024.1329054pubmed: 38645651google scholar: lookup
                  10. Bell T, Kyriazopoulou P, Mowbray C, Murphy BA. Equine Headshaking Syndrome: Triggers, Seasonality, and Treatment Efficacy in Australia. Animals (Basel) 2024 Mar 13;14(6).
                    doi: 10.3390/ani14060875pubmed: 38539973google scholar: lookup
                  11. Zamith Cunha R, Semprini A, Salamanca G, Gobbo F, Morini M, Pickles KJ, Roberts V, Chiocchetti R. Expression of Cannabinoid Receptors in the Trigeminal Ganglion of the Horse. Int J Mol Sci 2023 Nov 3;24(21).
                    doi: 10.3390/ijms242115949pubmed: 37958932google scholar: lookup
                  12. Kloock T, Hellige M, Kloock A, Feige K, Niebuhr T. Impact of Different Diagnostic Procedures on Diagnosis, Therapy, and Outcome in Horses with Headshaking: Recommendations for Fast-Track Advanced Diagnostic and Therapeutic Protocols. Animals (Basel) 2022 Nov 13;12(22).
                    doi: 10.3390/ani12223125pubmed: 36428354google scholar: lookup
                  13. Rørvang MV, Nicova K, Yngvesson J. Horse odor exploration behavior is influenced by pregnancy and age. Front Behav Neurosci 2022;16:941517.
                    doi: 10.3389/fnbeh.2022.941517pubmed: 35967896google scholar: lookup
                  14. Adalbert R, Cahalan S, Hopkins EL, Almuhanna A, Loreto A, Pór E, Körmöczy L, Perkins J, Coleman MP, Piercy RJ. Cultured dissociated primary dorsal root ganglion neurons from adult horses enable study of axonal transport. J Anat 2022 Nov;241(5):1211-1218.
                    doi: 10.1111/joa.13719pubmed: 35728923google scholar: lookup
                  15. Aleman M, Sheldon SA, Jospin G, Coil D, Stratton-Phelps M, Eisen J. Caecal microbiota in horses with trigeminal-mediated headshaking. Vet Med Sci 2022 May;8(3):1049-1055.
                    doi: 10.1002/vms3.735pubmed: 35060350google scholar: lookup
                  16. Roberts VLH, Bailey M, Patel NK. The safety and efficacy of neuromodulation using percutaneous electrical nerve stimulation for the management of trigeminal-mediated headshaking in 168 horses. Equine Vet J 2020 Mar;52(2):238-243.
                    doi: 10.1111/evj.13174pubmed: 31461784google scholar: lookup
                  17. Sheldon SA, Aleman M, Costa LRR, Weich K, Howey Q, Madigan JE. Effects of magnesium with or without boron on headshaking behavior in horses with trigeminal-mediated headshaking. J Vet Intern Med 2019 May;33(3):1464-1472.
                    doi: 10.1111/jvim.15499pubmed: 30990929google scholar: lookup
                  18. Sheldon SA, Aleman M, Costa LRR, Santoyo AC, Weich KM, Howey Q, Madigan JE. Luteinizing hormone concentrations in healthy horses and horses with trigeminal-mediated headshaking over an 8-hour period. J Vet Intern Med 2019 Mar;33(2):885-888.
                    doi: 10.1111/jvim.15451pubmed: 30773684google scholar: lookup
                  19. Sheldon SA, Aleman M, Costa LRR, Santoyo AC, Howey Q, Madigan JE. Intravenous infusion of magnesium sulfate and its effect on horses with trigeminal-mediated headshaking. J Vet Intern Med 2019 Mar;33(2):923-932.
                    doi: 10.1111/jvim.15410pubmed: 30666732google scholar: lookup
                  20. Roberts V. Trigeminal-mediated headshaking in horses: prevalence, impact, and management strategies. Vet Med (Auckl) 2019;10:1-8.
                    doi: 10.2147/VMRR.S163805pubmed: 30666296google scholar: lookup
                  21. Bell C, Hnenny L, Torske K. Internal neurolysis of the maxillary branch of the trigeminal nerve for the treatment of equine trigeminal mediated headshaking syndrome. Can Vet J 2018 Jul;59(7):763-769.
                    pubmed: 30026624
                  22. Sheldon S, Aleman M, Costa L, Santoyo AC, Howey Q, Madigan J. Alterations in Metabolic Status and Headshaking Behavior Following Intravenous Administration of Hypertonic Solutions in Horses with Trigeminal-Mediated Headshaking. Animals (Basel) 2018 Jun 25;8(7).
                    doi: 10.3390/ani8070102pubmed: 29941850google scholar: lookup
                  23. Roberts VL, Fews D, McNamara JM, Love S. Trigeminal Nerve Root Demyelination Not Seen in Six Horses Diagnosed with Trigeminal-Mediated Headshaking. Front Vet Sci 2017;4:72.
                    doi: 10.3389/fvets.2017.00072pubmed: 28555189google scholar: lookup
                  24. Aleman M, Rhodes D, Williams DC, Guedes A, Madigan JE. Sensory evoked potentials of the trigeminal nerve for the diagnosis of idiopathic headshaking in a horse. J Vet Intern Med 2014 Jan-Feb;28(1):250-3.
                    doi: 10.1111/jvim.12237pubmed: 24428325google scholar: lookup