Equine neurological disease Flashcards

1
Q

What viruses with primary neurotropism cause equine neurological disease?

A

Rabies

Bornavirus

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2
Q

Which arboviruses cause equine neurological disease?

A

Japanese encephalitis

West Nile Virus

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3
Q

Which viruses cause neuropathy by damaging the BBB?

A

EHV-1 and 4

Equine infectious anaemia

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4
Q

Which equine neurological diseases are parasitic?

A

Halicephalobus gingivalis
Strongylus vulgaris
Hypoderma
Trypanosoma

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5
Q

Which equine neurological diseases are caused by clostridial neurotoxins?

A

Botulism

Tetanus

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6
Q

What are neurological diagnoses usually made on?

A
History 
Clinical exam
CSF analysis
Medical imaging
Functional testing
Post mortem
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7
Q

What history should be noted when examining for neurological diseases?

A

Info about geographical location
Recent travel history
Vaccination history
Onset/duration of clinical signs

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8
Q

CSF analysis is key in most viral encephalitis. What do you look for in CSF analysis that indicates a neurological problem?

A

Increased protein
Mononulcear pleocytosis (increased cell count)
Identify Ag or specific Ab

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9
Q

What medical imaging can be used to diagnose neurological problems? What are disadvantages are this?

A

CT
MRI
EEG
Expensive and only up to mid cervical region

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10
Q

What treatment should be given if suspecting a neurological problem? (fever, neurological signs)

A
Isolate - presume infection
Quiet, dark stable
Deep bedding
Padded walls 
Turn recumbent horses every few hours
Sling if stood
NSAIDs, corticosteroids, antiviral therapy
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11
Q

How can neurological diseases be prevented?

A

Vaccination if available

Minimise exposure to vector or reservoir

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12
Q

What is EHV-2?

A

Keratitis

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13
Q

What is EHV-3?

A

Coital exanthema

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14
Q

What is EHV-4?

A

Respiratory

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15
Q

What is EHV-5?

A

Multinodular pulmonary fibrosis

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16
Q

What does EHV 6-8 affect?

A

Donkeys

17
Q

What type of virus is equine herpes? What immunity do horses have to this?

A

Alpha herpes virus
DNA virus
Hummoral immunity is short lived - naturally low Ab level

18
Q

What is EHV-1?

A

Respiratory
Abortion
Myeloencephalopathy

19
Q

What are the clinical signs of EHV-1? What are these signs a result of?

A
Sudden onset 
Ataxia and recumbency
Atony of bladder
Flaccid tail and anus
Perineal hypoalgesia
Cranial nerve involvement
Signs due to vasculitis and thrombosis of arterioles in CNS
20
Q

What is the treatment and prognosis for EHV-1?

A

Isolate, give anti-inflammatories for vasculitis

Prognosis reasonable with good care, except if recumbent for long time periods

21
Q

Is there a vaccination for EHV? What are problems with this vaccine?

A

For EHV1 and EHV4

22
Q

Rabies is an important zoonotic disease but is quite uncommon in horses. What is the pathogenesis of rabies?

A

Salivary/droplet transmission via carnivore bite
Inoculates at wound site
Travels to peripheral nerve
Moves centrally and replicates in spinal/dorsal root ganglia
Spreads to CNS

23
Q

There are few clinical signs for rabies as it turns from mild lameness to sudden death. The signs vary based on which form of rabies it is. What are the 3 forms of rabies?

A

Spinal form - parayltic form
Cerebral form - furious form
Brain stem - dumb form

24
Q

Spinal/parayltic rabies is the most common form. What are the clinical signs of this?

A
Localised hyperaestheisa
Progressive ataxia
Weakness
Lameness
Recumbency
25
Q

What are the clinical signs of the brain stem/dum form of rabies?

A

Depression
Anorexia
Ataxia

26
Q

What are the clinical signs of the cerebrum/furious form of rabies?

A
Photo/hydrophobia
Aggression
Bizarre behaviour
Muscle tremors and tetanus
Seizures
27
Q

Rabies is always fatal. Is there a vaccination? What should you do if suspected rabies?

A

yes

Kill if suspected

28
Q

How is rabies diagnosed

A

Post mortem exam - careful as zoonotic

Negri bodies in neurons

29
Q

What causes West Nile virus?

A

Flaviviridae (group B arbovirus)

30
Q

West Nile Virus is found in humans and horses in Africa and America. What are the reservoir hosts? How is the disease transmitted to horses and humans?

A

Birds

Spread via mosquitoes + midges

31
Q

What is the pathogenesis of West Nile Virus?

A

virus replicates at inoculation site
Causes viraemia and signs of infection (fever, depression)
Enters CNS of some horses

32
Q

What are the neurological signs of West Nile Virus?

A
Weakness
Ataxia
Muscle twitches - particularly in head/neck
Affects mentation
Can cause sudden death
33
Q

How is West Nile virus diagnosed and treated?

A

Dx - ELISA, post mortem

Tx - hyperimmune specific plasma (USA), supportive care (NSAIDs, corticosteroids)

34
Q

What is the prognosis and prevention for West Nile Virus?

A

Some cases gradually resolve but have long term neurological defects
Reduce vector contact (mosquito repellents) and vaccination