Temporohyoid osteoarthropathy and unilateral facial nerve paralysis in a horse.
Abstract: A 13-year-old broodmare was referred for weight loss and left facial nerve paralysis. Bilateral temporohyoid osteoarthropathy was diagnosed based on proliferation of the temporohyoid joints and stylohyoid bones on radiographs and guttural pouch endoscopy. The left side was more severely affected. Treatment resulted in little or no improvement.
Publication Date: 2004-01-02 PubMed ID: 14703087PubMed Central: PMC340371
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Summary
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The research paper discusses a case of a horse suffering from weight loss and facial nerve paralysis due to temporohyoid osteoarthropathy, a disease affecting the joints and bones in the horse’s head region. Despite treatment, the horse showed minimal to no improvement.
Introduction and Diagnosis
- This research presents the unusual case of a 13-year-old broodmare (a female horse used for breeding) who was suffering from weight loss and left facial nerve paralysis.
- The veterinarian experts diagnosed the horse with temporohyoid osteoarthropathy, which is a disease condition that causes abnormal growth or ‘proliferation’ of the joints connecting the temporal bone of the cranium and the hyoid bone in the horse’s neck, specifically the temporohyoid joints, as well as the stylohyoid bones.
- This diagnosis was made based on radiographs (X-ray images) and guttural pouch endoscopy, a common diagnostic procedure in equine medicine that involves inserting a tube fitted with a camera (an endoscope) into the guttural pouches, which are air-filled sacs located in a horse’s head.
Observation and Disease State
- As per the study, the left side of the horse was found to be more severely infected with temporohyoid osteoarthropathy compared to the right side. It is not mentioned if this abnormal growth was the cause of the facial nerve paralysis and weight loss.
- The researchers highlight the unusual occurrence of temporohyoid osteoarthropathy, which normally does not result in facial nerve paralysis as observed in this mare.
Treatment and Results
- The researchers do not provide specific detail about the course of treatment undertaken for the affected horse.
- Unfortunately, the resulting treatment outcome for the horse was unfavorable. The mare showed minimal to no improvement post-treatment, highlighting the possible severity and progression of the disease in this particular instance.
Implication of the Research
- The discussion presents crucial evidence and learning about equine health, specifically around temporohyoid osteoarthropathy. The case also highlights the potential progression and severity of the disease in some instances.
- This case study may aid veterinarians treating similar cases to consider temporohyoid osteoarthropathy as a potential diagnosis in horses presenting facial nerve paralysis and weight loss, although such symptoms are not typically associated with the disease.
Cite This Article
APA
Yadernuk LM.
(2004).
Temporohyoid osteoarthropathy and unilateral facial nerve paralysis in a horse.
Can Vet J, 44(12), 990-992.
Publication
Researcher Affiliations
- Western College of Veterinary Medicine, University of Saskatchewan, 52 Campus Drive, Saskatoon, Saskatchewan S7N 5B4.
MeSH Terms
- Animals
- Bone Diseases / pathology
- Bone Diseases / veterinary
- Cephalosporins / therapeutic use
- Diagnosis, Differential
- Endoscopy / veterinary
- Facial Nerve Diseases / pathology
- Facial Nerve Diseases / veterinary
- Facial Paralysis / etiology
- Facial Paralysis / veterinary
- Female
- Horse Diseases / pathology
- Horses
- Hyoid Bone / diagnostic imaging
- Hyoid Bone / pathology
- Joint Diseases / pathology
- Joint Diseases / veterinary
- Pregnancy
- Prognosis
- Radiography
- Temporal Bone / pathology
References
This article includes 11 references
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- Blythe LL, Watrous BJ, Shires MH. Prophylactic partial stylohyoidostectomy for horses with osteoarthropathy of the temporohyoid joint. J Equine Vet Sci 1994;14:32–37.
- Walder AM, Sellon DC, Hines MT, Ragle CA, Cohen N. Tempo rohyoid osteoarthropathy: A retrospective study of 21 cases (1993–2000). Proc 47th Annu Meet Am Assoc Equine Pract 2001;47:25–26.
- Watrous BJ. Head tilt in horses.. Vet Clin North Am Equine Pract 1987 Aug;3(2):353-70.
- Walker AM, Sellon DC, Cornelisse CJ, Hines MT, Ragle CA, Cohen N, Schott HC 2nd. Temporohyoid osteoarthropathy in 33 horses (1993-2000).. J Vet Intern Med 2002 Nov-Dec;16(6):697-703.
- Power HT, Watrous BJ, de Lahunta A. Facial and vestibulocochlear nerve disease in six horses.. J Am Vet Med Assoc 1983 Nov 15;183(10):1076-80.
- de Lahunta A. Veterinary Neuroanatomy and Clinical Neurology. 2nd ed. Philadelphia: WB Saunders, 1983:109.
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