Difference between revisions of "Category:Cranial Nerve Examination - Horse"

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===[[Vestibular System Examination]]===
 
===[[Vestibular System Examination]]===
  
====The Vestibulocochlear Nerve====
 
 
* Cranial nerve VIII is the vestibulocochlear nerve.
 
* The vestibulocochlear nerve carries
 
** Auditory, or cochlear, signals.
 
** Balance, or vestibular, signals.
 
* Signals from CN VIII are relayed to the vestibular nuclei in the brainstem.
 
** The nuclei in turn relay information to
 
*** The eyes
 
*** The body and limbs
 
*** Higher centres.
 
* Many efferent signals are controlled in part by cerebellar input.
 
 
====Unilateral Vestibular Disease====
 
 
* Horses with unilateral vestibular lesions often have a head tilt towards the side of the lesion.
 
* If nystagmus is absent, determining whether a horse with a head tilt is also weak is helpful in deciding whether vestibular disease is central or peripheral.
 
** In peripheral diease, the horse may be ataxic but weakness is not normally seen.
 
 
=====Acute=====
 
 
* In the acute stages of vestibular disease, spontaneous nystagmus may be present.
 
** The appearance of nystagmus is different depending on the type of vestibular disease present.
 
*** Central vestibular disease
 
**** Nystagmus often is variable; i.e. rotary, horizontal and vertical.
 
*** Peripheral vestibular disease
 
**** The fast phase of the nystagmus is away from the side of the lesion.
 
 
=====Chronic=====
 
 
* Nystagmus may resolve in more chronic lesions.
 
** However, it may return with changes in head position.
 
*** I.e. positional nystagmus.
 
* Visual accomodation improves ataxic movements.
 
** However, these may return dramatically on blindfolding.
 
 
====Bilateral Vestibular Disease====
 
 
* An observable head tilt may not be present.
 
* Movements are likely to be markedly ataxic.
 
** This is probably due in part to involvement of ascending proprioceptive and descending motor pathways that run through the brainstem.
 
 
[[Category:Cranial Nerve Examination - Horse]]
 
  
 
===[[Pharyngeal and Laryngeal Function]]===
 
===[[Pharyngeal and Laryngeal Function]]===

Revision as of 16:06, 9 March 2011

  • The cranial nerves are numbered 1-12 from the most rostral to the most caudal.
  • A systematic examination of the cranial nerves can aid accurate identification of the site of a lesion.

Cranial Nerve I

  • Cranial nerve I is the olfactory nerve.
    • Abnormalities are rarely detected in this nerve.

Neurological Eye Examination - Horse

Face Sensation

Vestibular System Examination

Pharyngeal and Laryngeal Function

  • The pharynx and larynx are innervated by:
    • CN IX - the glossopharyngeal nerve
    • CN X - the vagus nerve
    • CN XI - the accessory nerve
  • Pharyngeal and laryngeal function is best studied by:
    1. Observing the horse eat and swallow
    2. Endoscopy

Laryngeal Dysfunction

  • Left recurrent laryngeal hemiplegia is the most common dysfunction in horses.
    • The left recurrent laryngeal nerve is a branch of the vagus nerve.
    • Horses are known as "roarers".

Pharyngeal Dysfunction

  • Pharyngeal paralysis in horses is commonly associated with peripheral disease.
    • Especially guttural pouch disease.
      • Endoscopy of the guttural pouches should be therefore be performed in horses that are dysphagic.


Tongue Movement

  • The hypoglossal nerve, CN XII provides motor innervation to the tongue.
  • Normally, a horse resists the tongue being retracted from the mouth.
    • The horse will quickly return the tongue after it is pulled out to the side.
  • Horses with hypoglossal weakness appear differently.
    • The tongue may protrude from the mouth.
    • Chronic unilateral hypoglossal lesions may result in unilateral tongue atrophy.
    • Bilateral hypoglossal lesions may result in difficulty prehending food.
  • Horses with cerebral dysfunction may have signs corresponding to tongue weakness.
    • However, tongue atrophy is not present in these animals.

Pages in category "Cranial Nerve Examination - Horse"

The following 5 pages are in this category, out of 5 total.