Which aspects of history are important when dealing with neurologic cases in farm animals?
-signalment (individual and herd)
-onset
-duration/progression
-previous therapy
-number of animals affected
-dietary changes
-location of affected animal(s)
-vaccination/deworming history
What should be observed in the initial component of a farm animal neurologic exam?
-mentation
-gait
-body symmetry
-reaction to stimulus
-vision
all done from a distance
Which changes in mentation can indicate a central nervous system lesion?
-dull
-obtunded
-stupor
-comatose
What are the three types of ataxia?
-general proprioception
-vestibular; loss of balance, leaning, circling
-cerebellar; uncontrolled limb movement
How does the presentation of a LMN lesion differ from an UMN lesion in terms of gait?
*UMN:
-long strides
-stiffness
*LMN:
-short strides
-trembling
-collapse
What are the characteristics of postural reactions?
-tested via placement response
-assesses if animal knows where its limbs are in space
What are the tests done to determine presence of spinal reflexes/good muscle tone?
-patellar reflex
-withdrawal reflex
-nociception/assessment of deep pain
-tail and anal tone assessment
What are the characteristics of the withdrawal reflex?
-pinch between digits
-normal response is full withdraw/flexion
-absence in the front limbs indicates C6 to T2 lesion or median and ulnar nerve lesions
-absence in hind limbs indicates L5 to S3 lesion or sciatic nerve lesion
What are the characteristics of the patellar reflex?
-normal response is extension of the stifle
-requires normal L4, L5, and femoral nerve
What are the characteristics of the triceps reflex?
-normal response is extension of the elbow
-requires normal C7, T1, and radial nerve
What are the characteristics of postural/proprioceptive reaction?
-normal response is correct placement of limb/foot after it is placed in the wrong position
-most common test performed in large animal
What are the characteristics of the menace response?
-inward stimulus of hand tests vision and CN 2/optic n.
-outward response is a blink driven by CN 7/facial n.
What are the characteristics of the pupillary light reflex?
-inward stimulus of light tests light detection via CN 2/optic n.
-outward response is constriction of the pupil via CN 3/oculomotor n.
How does the position of strabismus indicate the affected cranial nerve?
-ventrolateral: CN 3 and/or CN 8
-dorsomedial: CN 4
-medial: CN 6
What is nystagmus?
-abnormal repetitive eye movements
-typically indicative of CNS lesions
What does small size of the palpebral fissure indicate?
CN 7 dysfunction
What does third eyelid elevation indicate?
-tetanus and globe retraction
-sympathetic denervation
What does the palpebral reflex test?
-CN 5 (sensory)
-CN 7 (motor)
How is symmetry of the face assessed?
-symmetry of the ears
-deviation of nose or philtrum
Which cranial nerve is involved in tongue size and strength?
CN 12
Which cranial nerves can be impacted in an animal experiencing dysphagia?
-CN 9
-CN 10
-CN 5
Which cranial nerves allow for proper food retention in the mouth?
-CN 7
-CN 12
What must occur for an animal to experience drop jaw?
bilateral dysfunction of CN 5
What are the characteristics of transmissible spongiform encephalopathies?
-prion diseases
-prions are highly resistant to sterilization/disinfection attempts
-misfolded protein serves as a template for other proteins to misfold