Bhatti, Sofie

Charalambous, Marios

Hoegaerts, Michel

Kromhout, Kaatje

Neuckermans, Zoé

Olsen, Emil

Rijckaert, Joke

van Loon, Gunther

English

Ghent University Academic Bibliography

CASE REPORT OF COMPLETE RECOVERY IN AN 8-YEAR-OLD SPORT HORSE WITHRIGHT SIDE FOREBRAIN SIGNS FROM PRESUMPTIVE CEREBROVASCULAR ORIGINZoé Neuckermans1, Joke Rijckaert1, Marios Charalambous2, Sofie Bhatti2, Emil Olsen3, KaatjeKromhout4, Michel Hoegaerts5, Gunther van Loon1Department of Large Animal Internal MedicineGhent University, BelgiumContact: zoe.neuckermans@ugent.be1 Department of Large Animal Internal Medicine, Faculty of Veterinary Medicine, Ghent University, Belgium2 Small Animal Department, Faculty of Veterinary Medicine, Ghent University, Belgium3 The Royal Veterinary College, Structure and Motion Lab, North Mymms, United Kingdom4 Department of Veterinary Medical Imaging and Small Animal Orthopaedics, Faculty of Veterinary Medicine, Ghent University, Belgium5 Equisound, Equine Clinic and MRI Center, Ursel, Belgium INTRODUCTIONCASE DESCRIPTIONCONCLUSION• Acute onset and rapid improvement is typical with vascular events and trauma  no signs of parenchymal bleeding or skull fracture• MRI is the ancillary test to diagnose vascular events but a low-field MRI and 4 mm slices were used so small lesions could have been missed• Flow difference in the venous sinuses might be correlated with cerebral venous sinus thrombosis but has a different clinical presentation in humans and has never been described in horses• Common cerebral pathologies such as trauma, neoplasia, toxic, infectious and non-infectious diseases have been ruled out therefore an ischemic vascular event was the most likely cause of the clinical signs• Head and neck turn without head tilt is most commonlyassociated with lesions localised in the cerebrum on theipsilateral side• Differential diagnosis includes trauma, neoplasia andinflammatory, toxic or vascular disease• Eight-year-old gelding with acute onset of severe head and neckturn (figure 1) and continuous circling to the right• No abnormalities on clinical exam, blood haematology, serumbiochemistry, CSF analysis and head CT• Negative Western blot for Sarcocystis neurona and Borreliaburgdorferi on CSF and blood serum• Low-field MRI of the head: hyperintense contrast enhancing lesionin the left temporal muscle (figure 2), hyperintense right venoussinus and isointense left venous sinus (figure 3) on T2-, FLAIR- andSTIR- images• Treatment : oral prednisolone, acetylsalicylic acid, trimethoprimsulfadiazine, vitamin E and B1• Evolution : complete resolution of clinical signs within one monthand return to exerciseFigure 1: severe head and neck turnFigure 2: hyperintense contrast enhancing lesion in the lefttemporal muscleFigure 3: hyperintense right venous sinus (arrow) and isointenseleft venous sinus (arrowhead)

Case report of complete recovery in an 8-year-old sport horse with right side forebrain signs from presumptive cerebrovascular origin

https://biblio.ugent.be/publication/8615902/file/8615903.pdf

Case report of complete recovery in an 8-year-old sport horse with right side forebrain signs from presumptive cerebrovascular origin

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Ghent University Academic Bibliography