Transrectal Ultrasonography of Equine Lumbosacral Nerves: Pilot Study in 28 Healthy Warmblood Horses.
Abstract: A noninvasive method for visualizing lumbosacral nerves would be helpful for horses with suspected lumbosacral plexopathy or injury. The aim of this prospective descriptive pilot study was to characterize the ultrasonographic appearance of the lumbosacral nerves in a sample of healthy horses, and expand on the technique for image acquisition. Horses were recruited for inclusion if they were determined to be healthy and sound based on clinical and lameness evaluation. Transrectal ultrasound images of the lumbosacral nerves (L6, S1, and S2) were obtained for both sides. Landmarks for localization, and techniques for nerve identification and measurement were described. Effects of sex, age, side, and nerve on measured thickness were statistically tested. Twenty-eight warmblood horses were sampled (15 males and 13 females). Ages ranged from 5 to 15 years. Ventral nerve roots from L6 to S2 appeared as tubular structures with a characteristic hyperechoic linear echo pattern. There was no significant difference in nerve vertical diameter between left and right sides. A three-way interaction was found among sex, age and lumbosacral nerve. The L6 nerve in males was significantly larger than S1 only in the youngest group. The S2 nerve was significantly smaller than L6 or S1 regardless of age group or sex. In conclusion, transrectal ultrasound was a feasible method for visualizing and measuring equine lumbosacral nerves. Wide ranges of sizes for each nerve were found between horses, however nerves were bilaterally symmetrical within horses. Side comparison is therefore recommended when nerve pathology is suspected.
© 2016 American College of Veterinary Radiology.
Publication Date: 2016-12-06 PubMed ID: 27922211DOI: 10.1111/vru.12455Google Scholar: Lookup
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- Comparative Study
- Journal Article
Summary
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This research study aims to elaborate the potential use of transrectal ultrasonography in observing and analyzing the lumbosacral nerves of horses, and to provide details about the procedure of image acquisition. A total of 28 healthy warmblood horses underwent said technique, and the variations in nerve measurements across the sample group are also discussed.
Objective and Methodology
- The main purpose of this study was to develop and understand a non-invasive method, i.e. transrectal ultrasonography, for examining the lumbosacral nerves in horses.
- This research intended to study the horses which were suspected of having lumbosacral plexopathy or injury.
- The sample consisted of healthy and sound horses marked by a clinical and lameness evaluation.
- The procedure involved obtaining ultrasound images of the lumbosacral nerves (categorized as L6, S1, and S2) from both the sides.
Outcomes and Observations
- The study comprised 28 warmblood horses ranging from 5 to 15 years, including 15 males and 13 females.
- These nerves showcased as tubular structures displaying a characteristic hyperechoic linear echo pattern under ultrasonography.
- There were no significant differences noticed between the vertical diameter measurements of the nerves on the right and left sides.
- The interplay among sex, age, and lumbosacral nerve was noted. Particularly, the L6 nerve in males was significantly larger than S1 in the youngest group.
- Interestingly, S2 nerve was consistently smaller than L6 or S1, irrespective of the category of age group or sex.
Conclusions
- Transrectal ultrasound proved a viable method for visualizing and measuring equine lumbosacral nerves in this study.
- Although the nerve sizes varied markedly across different horses, they presented bilateral symmetry within a single horse.
- This underscores the recommendation of side comparison when potential nerve damage is being investigated.
Cite This Article
APA
Espinosa P, Benoit P, Salazar I, de la Fuente J, Heiles P.
(2016).
Transrectal Ultrasonography of Equine Lumbosacral Nerves: Pilot Study in 28 Healthy Warmblood Horses.
Vet Radiol Ultrasound, 58(2), 228-236.
https://doi.org/10.1111/vru.12455 Publication
Researcher Affiliations
- Veterinary Medical Teaching Hospital, School of Veterinary Medicine, University of California, Davis, CA, 95616.
- Clinique Equine des Breviaires, Les Breviaires, 78610, France.
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, 28040, Spain.
- Departamento de Producción Animal, Facultad de Veterinaria, Universidad Complutense de Madrid, Madrid, 28040, Spain.
- Clinique Equine des Breviaires, Les Breviaires, 78610, France.
MeSH Terms
- Animals
- Female
- Horses / anatomy & histology
- Lumbosacral Region / anatomy & histology
- Lumbosacral Region / diagnostic imaging
- Male
- Pilot Projects
- Spinal Nerve Roots / anatomy & histology
- Spinal Nerve Roots / diagnostic imaging
- Tomography, X-Ray Computed / methods
- Tomography, X-Ray Computed / veterinary
- Ultrasonography / methods
- Ultrasonography / veterinary
Citations
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