Nervous Flashcards

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1
Q

Describe some abnormal symptoms that may be observed in the head

A

-Depression, aggression, circling, head pressing
-Blindness
-Nystagmus
-Drooping muzzle, ears, eyes
-Difficulty eating/swallowing, noisy breathing
-Protruding tongue

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2
Q

How is a horse determined to be blind?

A

-no menace reflex (the horse will not flinch when a hand is quickly brought towards its face)
-no pupillary light reflex (a horse’s pupil will not contract when a bright light is shined on it)

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3
Q

What is nystagmus?

A

Abnormal movement of the eye, characterized by rapid, repetitive, involuntary up and down, side to side, or circular movement.

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4
Q

What are some abnormal symptoms that may be observed caudal to the head?

A

-Ataxia (lack of coordination)
-Weakness in the limbs
-Lack of proprioception (awareness of the position and movement of the limbs in space)
-No cutaneous trunci reflex (horse’s skin does not twitch when pinched between the thoracic and lumbar vertebrae
-Single limb abnormalities

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5
Q

What sorts of diagnostic tools may be utilized when determining the cause or pathology of neurological disease?

A

-Radiographs with a myelogram
-MRI (magnetic resonance imaging)
-CT (computed tomography) scans
-Nuclear scintigraphy
-CSF tap
-Electromyography

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6
Q

What is Cervical Vertebral Malformation (CVM or Wobblers)? How might it occur?

A

-A malformation of the cervical vertebrae puts pressure on the spinal cord causing neurological abnormalities.
-Usually identified between six months and three years of age
-Linked to orthopedic disease, may have nutritional and hereditary components
-Occurs comorbidly with arthritis in older horses

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7
Q

How is Wobblers diagnosed?

A

Clinical signs
-Ataxia
-Weakness
-Radiographs with or without a myelogram

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8
Q

How is wobblers treated?

A

-Dietary changes
-NSAIDs
-Surgery

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9
Q

How serious is wobblers? What complications may occur?

A

-Performance-limiting. ~70% of horses operated on will improve, but only around half will be able to perform as athletes

-Trauma arising from a fall or other accident due to ataxia

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10
Q

What is EHV-1 (Equine Herpes Virus or Rhinopneumonitis)?

A

A serotype of EHV that attacks the nervous system, is transmitted through saliva, respiratory secretions and feces.

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11
Q

How is EHV-1 diagnosed?

A

Clinical signs:
-Ataxia (lack of coordination) or recumbency (lying down and unable to rise) ~6-12 days after exposure
-Loss of bladder function

-Presence of an outbreak
-Antibody titres
-Detection of virus in respiratory secretions

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12
Q

How is EHV-1 treated?

A

Supportive care:
-NSAIDs
-Fluids
-Prevention of decubital ulcers
-Bladder catheterization

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13
Q

Can the EHV-4 vaccine prevent EHV-1?

A

There is no vaccine labelled for the prevention of EHV-1, but they may offer SOME protection

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14
Q

How serious is EHV-1? What complications may occur?

A

-Outbreaks are very likely as ~90% of exposed horses will become ill
-Mildly affected horses can recover without complications, but mortality can be as high as ~40%

-Permanent gait alterations
-Permanent loss of bladder function

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15
Q

What is West Nile Virus? How is it transmitted? What kind of vector are humans and horses considered to be?

A

-A viral disease, first introduced to the eastern United States in 1999 before rapidly spreading westwards.
-Birds and mosquitos
-Dead-end hosts, meaning the virus does not accumulate in high levels, so cannot be passed on to other birds and mosquitos

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16
Q

How is West Nile Virus diagnosed?

A

Clinical signs:
-Ataxia (lack of coordination)
-Hindlimb paralysis
-Seizures (uncommon)
-Coma
-Tremors around nose and lips

-Antibody levels (high levels could be due to recent vaccination)
-Virus isolation from blood or CSF

17
Q

How is West Nile Virus treated?

A

-Supportive care
-NSAIDs

18
Q

How serious is West Nile Virus?

A

-Mortality rates were once ~35%
-Vaccination has drastically decreased mortality

19
Q

What similarities are there between West Nile Virus and Eastern Equine Encephalopathy(EEE)/Western Equine Encephalopathy(WEE)?

A

-Both viruses cycle through birds and mosquitos
- EEE and WEE are rarely seen due to extensive vaccination efforts
-Most tetanus vaccines include EEE/WEE (“I need to vaccinate my dear horsey for tetanus, eastern, and western”)

20
Q

What is tetanus? What organism causes it? What organisms are the most susceptible?

A

-A fatal disease caused by a toxin released from bacteria that live in soil and enter the body through a wound (especially a deep puncture wound by a filthy object, eg. a rusty nail)
-Clostridium tetani
-Horses and humans

21
Q

How is Tetanus diagnosed?

A

Clinical Signs:
•Stiff, progresses to full body rigidity
•Lips pulled back
•Nostrils flared
•Lockjaw

•History of a wound (especially punctures)
•Horse is not vaccinated

22
Q

How is Tetanus treated?

A

•Antitoxins
•Antibiotics
•Sedation and anti-convulsants
•Intensive nursing
•Quiet environment

23
Q

How serious is Tetanus? What complications may occur?

A

•Survival is possible but it can be fater in as little as 5-10 days
•Euthanasia recommended for severe cases

•Further injury can occur due to the horse being unable to stand or function normally