Gross anatomy of the accessory nerve and vagus nerve ofthe head and cranial neck region in the Bactrian camel

Seven heads and necks of Bactrian camels were dissected to investigate the origin, course, branches anddistribution of the accessory nerve and vagus nerve in the cranial cervical region. The spinal root and external branch of the accessory nerve were not present, but there was a delicate communicating branch between the dorsal root of the first cervical nerve and the root of the vagus nerve. The sternocephalic muscle was innervated by the second cervical nerve while the brachiocephalic and trapezius muscles were supplied by the sixth and seventh cervical nerves. In the head and cranial cervical region of the Bactrian camel the vagus nerve gave oft the auricular branch, pharyngeal branch, cranial laryngeal nerve, a common trunk to the larynx, oesophagus and trachea, and some communicating branches connecting with the glossopharyngeal, hypoglossal, first cervical nerves and the cranial cervical ganglion.     

The gross anatomy of the cranial cervical ganglion and its branches in the bactrian camel (Camelus bactrianus)

Ten specimens of the head and neck of the Bactrian camel (Camelus bactrianus) were dissected to study the situation, arrangement and branches of the cranial cervical ganglion (ganglion cervicale craniale). The ganglion was a greyish fusiform structure, averaging 15–20 mm in length, 4–6 mm in width and 3 mm in thickness, located on the rostro-lateral surface of the longus capitis and covered by the mandibular gland. The branches of the cranial cervical ganglion included the internal carotid nerve, external carotid nerve, jugular nerve and the branches connecting with the glossopharyngeal, vagus, hypoglossal and first cervical nerves.     

Macro anatomical investigations of the cranial cervical ganglion in domestic pig (Sus scrofa domesticus)

In this study, the left and right cranial cervical ganglia (ganglion cervicale craniale) of eight young (four male, four female) domestic pigs weighing around 70-80 kg were inspected macro anatomically. The cranial cervical ganglion (CCG) was found cranio-ventrally of the distal ganglion of the vagus nerve, medial of the jugular process extremity, ventral of the atlas, dorsal of the epiglottis base and medial of the common root (CR) established by the internal carotid and occipital arteries. The internal carotid nerve and jugular nerve ramified from the cranial part of CCG. The jugular nerve gave branches that merged with the vagus and glossopharyngeal nerves. Other nerve branches originating from the cranial part of the ganglion reached to the external carotid artery and CR. The internal carotid nerve varied among cadavers in number of branches (two to four). These branches did not travel along the side of the internal carotid artery. The central part of CCG gave thin nerve branches that reached to various anatomical structures including the first and second cervical nerves, wall of the pharynx, accessory nerve, hypoglossal nerve, vagus nerve, external carotid artery and CR. The caudal part of CCG gave nerve branches that merged with the vagus, cranial laryngeal nerves, and common carotid artery. The external carotid nerves, which were two or three in number, also originated from the caudal part of CCG. In conclusion, the nerves ramifying from CCG of the pig varied in number among cadavers. Compared with literature raised in other species, there are also differences in number of nerve branches and course pattern of these nerves.     

Contributions of the glossopharyngeal nerve and the pharyngeal branch of the vagus nerve to the swallowing process in dogs

The separate contributions of the glossopharyngeal nerve and the pharyngeal branch of the vagus nerve to the innervation of the pharyngeal muscles were studied first in 10 canine cadavers by dissection of the pharyngeal plexus and the pharyngeal muscles. In 10 other dogs, the parent trunks and 1st division of the glossopharyngeal nerve and the pharyngeal branch of the vagus nerve were electrically stimulated. The evoked stimulation potentials were recorded from the stylopharyngeal, hyopharyngeal, thyropharyngeal, and cricopharyngeal muscles. One of the parent trunks was then transected, and the effects on the swallowing process were observed clinically and by contrast videofluorography. Denervation potentials resulting from nerve transection were recorded in the soft palate, the hyopharyngeal, thyropharyngeal, and cricopharyngeal muscles. The pharyngeal plexus was composed of branches originating from the glossopharyngeal nerve and the pharyngeal branch of the vagus nerve. In most dogs, the pharyngeal muscles and the soft palate were innervated ipsilaterally by both nerves. The swallowing process was more severely disturbed after bilateral transection of the pharyngeal branch of the vagus nerve than after bilateral transection of the glossopharyngeal nerve.     

Dysphagia caused by focal guttural pouch mycosis: mononeuropathy of the pharyngeal ramus of the vagal nerve in a 20-year-old pony mare

A 20-year-old pony mare was presented to the equine hospital with a ten-day history of dysphagia, regurgitation and coughing. An obstruction of the oesophagus was excluded via endoscopy, but the proximal oesophagus appeared to be distended and circular contractions were missing. A guttural pouch endoscopy revealed a single, black-mottled plaque on the pharyngeal ramus of the vagus nerve in the left guttural pouch, causing a local swelling of this nerve. The pharyngeal ramus seemed to be atrophic distal to the lesion. A biopsy was taken from the lesion and histopathological findings proved the reasonable suspicion of a guttural pouch mycosis with a high degree of purulent-necrotic inflammation and invasion of fungal hyphae. There were no signs of neoplasia, such as melanoma. Daily guttural pouch irrigations with a clotrimazole emulsion (20 g Canesten^® Gyn⁴ solved in 500 ml water), led to a good recovery of the mucosa above the nerve. Periodic endoscopic examination of the left guttural pouch showed that local thickening and distal atrophy of this pharyngeal ramus did not improve, neither did the clinical symptoms. Due to progressive weight loss, acute respiratory distress and aspiration pneumonia, the 20-year-old pony mare unfortunately had to be euthanized three weeks after discharge. This case report emphasizes the enormous importance of a single nerve for the realization of the swallowing process. The one-sided loss of function of the pharyngeal branch of the vagal nerve cannot be compensated neither by the remaining ipsilateral nerves nor by the contralateral normal functioning glossopharyngeal and vagal nerves and thus inevitably leads to severe dysphagia.     

Oropharyngeal dysphagias in the dog: A cinefluorographic analysis of experimentally induced and spontaneously occurring swallowing disorders

Cinefluorography and videofluorography were used to record and analyze functional swallowing deficits of 12 dogs with spontaneously occurring oropharyngeal dysphagias and six experimental dogs with selected neurectomies. Ten of the 12 dogs had dysphagias affecting the cricopharyngeal stage of the oropharyngeal phase of swallowing. Two dogs had mixed oropharyngeal dysphagias. Clinical signs of cricopharyngeal dysphagia could not be differentiated from those of dysphagias due to pharyngeal or mixed oropharyngeal deficits. Signs of cricopharyngeal dysphagia consisted of: 1) repeated attempts to swallow; 2) excessive head movement; 3) dropping food from the mouth after unsuccessful swallowing attempts; 4) reingestion of dropped food. Nine of these dogs had cinefluorographic evidence of asynchrony between the normal pharyngeal contraction and relaxation, and subsequent cricopharyngeal relaxation and contraction. Only one dog demonstrated a consistent cricopharyngeal non-opening (achalasia). Seven of the dogs responded dramatically to cricopharyngeal myotomy. Two dogs with mixed oropharyngeal dysphagias had poor contractility of the pharyngeal muscles in addition to cricopharyngeal dysphagia. Clinical and cinefluorographic evaluation following cricopharyngeal myotomy of one dog verified exacerbation of functional deficits due to the iatrogenic cricopharyngeal chalasia. Esophagopharyngeal reflux accentuated the contrast medium retention in the pharynx and laryngotracheal aspiration. The need was stressed for careful differentiation between cricopharyngeal dysphagia and dysphagias involving the pharyngeal stage. Four experimental dogs with selective bilateral neurectomies of branches of the glossopharyngeal (IX) and vagus (X) nerves were evaluated clinically and cinefluorographically in an attempt to identify the pathogenesis of cricopharyngeal dysphagia. The variable results in the four dogs and the observed recovery in two dogs suggested that peripheral motor nerve deficits are not a major cause of cricopharyngeal dysphagia. Glossopharyngeal neurectomy in two dogs induced a profound functional disorder involving the pharyngeal and cricopharyngeal stages and the esophageal phase of swallowing. This would support a new hypothesis that the glossopharyngeal nerve is sensory to the esophagus as well as the pharynx, and may play a major role in disorders of the pharynx, upper esophageal sphincter, and esophagus, including congenital or acquired megaesophagus.     

The cranial cervical ganglion and its branches in the White yak (Bos grunniens)

The heads of 12 White yaks (four castrated, four male and four female, 3-8 years old) were dissected to study the shape, location and branches of the cranial cervical ganglion macroscopically. The ganglion was a greyish arciform structure, with a mean length of 17.3 mm, a width of 8.0 mm and a thickness of 3.9 mm, located on the rostrolateral surface of m. longus capitis. Approximately 5% of the ganglion was covered laterally by the tympanic bulla and the rest by the m. stylohyoideus. The branches of the cranial cervical ganglion included the internal and external carotid nerves, the sympathetic trunk and communicating branches to the glossopharyngeal nerve, the pharyngeal branch of the vagus nerve and the hypoglossal nerve. In one specimen, the left cranial cervical ganglion was fusiform and only covered by the m. stylohyoideus. Gender differences of the cranial cervical ganglion in the White yak were not observed.     

Delayed onset vagus nerve paralysis after occipital condyle fracture in a horse

Occipital condylar fractures (OCFs) causing delayed onset lower cranial nerve paralysis (LCNPs) are rare. We present a 7‐year‐old Friesian horse with delayed onset dysphagia caused by vagus nerve (CNX) paralysis and suspicion of glossopharyngeal nerve (CNIX) paralysis developed several days after a minor head injury. Endoscopic examination revealed right laryngeal hemiplegia and intermittent dorsal displacement of the soft palate. An area of submucosal hemorrhage and bulging was appreciated over the dorsal aspect of the medial compartment of the right guttural pouch. Radiological examination of the proximal cervical region showed rotation of the atlas and the presence of a large bone fragment dorsal to the guttural pouches. Occipital condyle fracture with delayed onset cranial nerve paralysis was diagnosed. Delayed onset cranial nerve paralysis causing dysphagia might be a distinguishable sign of OCF in horses. Delayed onset dysphagia after head injury should prompt equine clinicians to evaluate the condition of the atlanto‐occipital articulation and skull base.     

Adult Stem Cells: Perspectives for Therapeutic Applications

The right and left cranial cervical ganglia in the heads of 10 adult guinea pigs (5 male, 5 female) were dissected in detail. The cranial cervical ganglion (CCG) was located on the caudo-ventral aspect of the distal ganglion of the vagus nerve, and medial to the digastric and styloglossal muscles. It was present also ventral to the tympanic bulla, ventro-lateral to the longus capitis muscle, and between the ascending pharyngeal and the internal carotid arteries. The branches of the CCG included the internal and external carotid nerves, the jugular nerve and connecting branches to the pharynx, vagus, glossopharyngeal, accessory, cranial laryngeal, first and second cervical nerves, and vessels in the carotid body region. The number of nerves ramifying from the CCG of the guinea pig varied among cases. Compared to other species, there are also differences in the number of nerve branches and the course patterns. No sex differences are present as far as the guinea pig CCG is concerned.     

The cranial cervical ganglion and its branches in the yak (Bos grunniens)

The heads and necks of 10 yaks were dissected to study the shape, location, arrangement, and branches of the cranial cervical ganglion. The ganglion was a greyish fusiform structure, mean length 19.72 mm, width 7.65 mm and depth 4.55 mm, located on the rostrolateral surface of the m. longus capitis. Approximately 25% of the ganglion was covered by the tympanic bulla, the rest by the m. stylohyoideus. The branches of the cranial cervical ganglion included the internal and external carotid nerves, sympathetic trunk and the branches connecting with the glossopharyngeal, vagus and hypoglossal nerves. In one animal the right cranial cervical ganglia was a greyish pyramidal structure 10 mm long, 8 mm wide and 5 mm thick but the left ganglion was similar to those found in the other specimens examined.     

Effects of oral supplementation of probiotic strains of Lactobacillus rhamnosus and Enterococcus faecium on diarrhoea events of foals in their first weeks of life

Foal first diarrhoea is one of the most prominent problems in the early life of horses. Probiotics might have the potency to prevent or at least diminish neonatal diarrhoea. We hypothesised that the treatment of foals with probiotic strains of Lactobacillus rhamnosus and Enterococcus faecium starting early after birth and then daily over 2 weeks would prevent or mitigate foal heat diarrhoea. The influence of this probiotic treatment on diarrhoea incidence and growth and health performance of young foals was investigated. Thirty‐four foals were randomly allocated to two groups. From day 1 to 14 of life, the foals received either placebo (PG, n = 16) or the probiotic treatment (TG, n = 18). Clinical examination was performed, and the faeces consistency score (FCS, 1–5; with diarrhoea defined by ≤3) was recorded once per day in weeks 1 and 2 and once weekly in weeks 3–8 of life (WL). The body height was measured at birth and after two and eight WL. Diarrhoea occurred in the 1st WL in 19% and 61% of PG and TG foals respectively. In the 1st WL, diarrhoea lasted 0.3 ± 0.8 and 1.6 ± 1.4 days in PG and TG foals respectively. In the 2nd WL, diarrhoea occurred in 94% and 84% of PG and TG foals, respectively, and lasted for 3.0 ± 1.5 and 3.7 ± 1.6 days respectively. At least two periods of diarrhoea developed in 33% and 65% of PG and TG foals respectively. The TG foals grew slightly slower than the PG foals. The results indicated that the probiotic treatment of neonatal foals as performed in this study was not suitable to reduce diarrhoea within the first two WL, because contrary to the hypothesis, the TG foals suffered more frequently and for longer periods from diarrhoea than the PG foals.     

The effects of maternal health and body condition on the endocrine responses of neonatal foals

Reasons for performing the study: Chronic and acute alterations in maternal nutrient intake during pregnancy alter pancreatic and hypothalamo‐pituitary‐adrenal (HPA) axis function in the offspring, before and after birth. Little is known about these effects. Objective: To determine whether maternal nutrient restriction caused by natural infection with Streptococcus equi altered endocrine function in neonatal foals born from mares fed a maintenance or high plane of nutrition throughout pregnancy. Methods: Ten primiparous mares received either a diet to maintain moderate body condition score (Moderate, n = 5) or a near ad libitum feeding regime to maintain a high body condition score (High, n = 5) throughout pregnancy. All mares inadvertently became infected with Streptococcus equi in mid gestation and lost approximately 10% body mass. Results: Maternal insulin and glucose concentrations decreased (P<0.05) during, and one month following, the weight loss period. High mares weighed more (P<0.05) at parturition than Moderate mares; all foals were healthy. Gestational age, foal bodyweights, placental and clinical parameters after birth were no different between the 2 groups. Foal plasma cortisol and glucose responses to exogenous adrenocorticotrophic hormone and insulin, respectively, were similar for both groups. Insulin concentrations during glucose tolerance test were significantly higher (P<0.05) in foals from Moderate than High mares and compared with foals studied previously from healthy, well‐fed mares, suggesting that the β cell sensitivity to glucose was enhanced in Moderate. Conclusion: Acute nutrient restriction in mid gestation caused by maternal illness and inappetence, superimposed on a maintenance feed intake throughout pregnancy, enhanced insulin secretion to glucose in foals. Nutritional programming of pancreatic β cells, but not the HPA axis, appeared to depend on the level of nutrition before and after the weight loss period. Potential relevance: Disturbances in neonatal pancreatic β cell function programmed during pregnancy may predispose foals to metabolic problems in later life.     

The effect of bilateral glossopharyngeal nerve anaesthesia on swallowing in horses

REASONS FOR PERFORMING STUDY: Dysfunction of the glossopharyngeal nerve has been implicated as a cause of dysphagia in horses. However, recent studies have indicated that this is not the case. OBJECTIVES: To determine whether bilateral glossopharyngeal nerve anaesthesia would cause dysphagia in horses or result in measurable alterations in the timing, function, or sequence of swallowing. METHODS: Swallowing was evaluated in 6 normal horses with and without bilateral glossopharyngeal nerve anaesthesia. Swallowing dynamics were assessed subjectively and objectively based on time from prehension of food until swallowing, number of tongue movements until initiation of swallowing, depth of bolus at the base of the tongue prior to initiation of swallow and evidence of tracheal aspiration using fluoroscopy and endoscopy. RESULTS: There was no evidence of aspiration or dysphagia in horses before or after bilateral glossopharyngeal nerve block. No observed or measured differences in swallowing sequence or function could be detected in blocked compared to unblocked horses. However, there was a trend in blocked horses for the number of tongue pushes and the time to swallowing to be increased. CONCLUSIONS: Glossopharyngeal nerve function may not be essential for normal swallowing function in otherwise healthy horses. POTENTIAL RELEVANCE: Clinically, normal swallowing is not an appropriate test of glossopharyngeal nerve function and dysphagic horses should not be assumed to have glossopharyngeal nerve dysfunction.     

Tongue atrophy as a neurological finding in hereditary polyneuropathy in Alaskan malamutes

BackgroundTongue atrophy with wrinkling as a clinical sign of inherited polyneuropathies has not been reported in dogs.ObjectivesClinically describe tongue atrophy as well as morphology of the tongue and hypoglossal nerve in Alaskan malamute polyneuropathy (AMPN).AnimalsSix client‐owned Alaskan malamute dogs diagnosed with AMPN, all homozygous for the causative mutation in the N‐myc downstream‐regulated gene 1 (NDRG1) and 1 neurologically normal control Alaskan malamute.MethodsProspective case study. Clinical and neurological examinations were performed on affected dogs. Necropsy samples from the tongue muscle and hypoglossal nerve were examined by light and electron microscopy.ResultsAll affected dogs had abnormal wrinkles and grooves on the dorsal surface of the tongue, a clinical sign not described previously in dogs with AMPN. Electromyography of the tongue performed in 2 dogs showed spontaneous activity. Five affected dogs underwent necropsy studies. Histopathology of the tongue showed groups of angular atrophic myofibers and changes in the hypoglossal nerve included thinly myelinated fibers, small onion bulbs, folded myelin, and axonal degeneration.Conclusion and Clinical ImportanceHistopathologic changes in the tongue and hypoglossal nerve were consistent with previously reported changes in skeletal muscle and other nerves from dogs with AMPN. Therefore, we conclude that macroscopic tongue atrophy is part of the disease phenotype of AMPN and should be considered a potential clinical sign in dogs with polyneuropathies.     

The Effects of Ivermectin Given Postpartum on the Incidence and Severity of Foal Heat Diarrhea

Foal heat diarrhea (FHD) is a major factor in the management of foals between 2 and 3 wk of age. The objective of this on-farm study was to determine the efficacy of postpartum anthelmintic treatment of mares for reducing the incidence and/or the severity of FHD in foals caused by parasitic infestation. Twenty-four Quarter Horse mares and their foals were alternately assigned to a treated or non-treated group according to expected foaling date. Treatment consisted of oral administration of Zimectrin® (Farnam Companies, Inc., Phoenix, AZ) to the dam within 12 h post-foaling. From d l through 25, foals were weighed, and vital signs and severity or absence of diarrhea were recorded. Incidence scores of 0 to 3 were assigned to each foal based on severity of diarrhea: 0 = no affliction and 3 = severe, watery diarrhea. There was no difference in incidence scores because of treatment; however, there was a trend for foals from treated mares to experience more severe diarrhea with a shorter duration. There was no difference in BW gain related to treatment or nontreatment of mares. Postpartum administration of Zimectrin to mares did not significantly decrease the incidence or severity of diarrhea in foals. Additionally, it did not affect growth rate of foals. The trend for foals from treated mares to have a shorter duration of FHD may be beneficial to farm managers who spend time and money treating and cleaning foals.     

Function of the ramus communicans of the medial and lateral palmar nerves of the horse

Reasons for performing study: The role of the communicating branch between the medial and lateral palmar nerves of horses (i.e. the ramus communicans) in conveying sensory impulses proximally should be determined to avoid errors in interpreting diagnostic anaesthesia of the palmar nerves. Hypothesis: Sensory nerve fibres in the ramus communicans of horses pass proximally from the lateral palmar nerve to merge with the medial palmar nerve, but not vice versa. Objective: To determine the direction of sensory impulses through the ramus communicans between lateral and medial palmar nerves. Methods: Pain in a thoracic foot was created with set‐screw pressure applied to either the medial or lateral aspect of the sole of each forelimb of 6 horses. The palmar nerve on the side of the sole in which pain was created was anaesthetised proximal to the ramus communicans with local anaesthetic. Lameness was evaluated objectively by using a wireless, inertial, sensor‐based, motion analysis system (Lameness Locator). Lameness was also evaluated subjectively by using a graded scoring system. Local anaesthetic was then administered adjacent to the ramus communicans to determine the effect of anaesthesia of the ramus communicans on residual lameness. Results: When pain originated from the medial or the lateral aspect of the sole, anaesthesia of the ipsilateral palmar nerve proximal to the ramus communicans did not entirely resolve lameness. Anaesthesia of the ramus communicans further attenuated or resolved lameness. Conclusions: Sensory fibres pass in both directions in the ramus communicans to connect the medial and lateral palmar nerves. Potential relevance: When administering a low palmar nerve block, both palmar nerves should be anaesthetised distal to the ramus communicans to avoid leaving nondesensitised sensory nerve fibres passing through this neural connection. Alternatively, local anaesthetic could also be deposited adjacent to the ramus communicans when anaesthetising the palmar nerves.     

Studies of maternally-acquired antibodies in the foal to equine influenza A1 and A2, and equine rhinopneumonitis

Serum and colostrum were collected from 50 mares at parturition. Pre- and post-nursing serum samples were obtained from their foals. Bi-weekly serum samples were obtained from 25 of the foals for eight weeks. Hemagglutination-inhibiting (HAI) antibody titers to equine influenza viruses A₁ and A₂ (EIVA₁ and EIVA₂) and serum-neutralizing antibody titers to equine herpes virus 1 (EHV₁) were measured in serum and colostrum samples. IgG levels in serum and colostrum were determined.No antibody was detected in any foal's pre-nursing serum sample. Foal post-nursing antibody and IgG levels were equivalent to those measured in their dam's sera (EHVA₁ p=0.86; EHVA₂ p=0.54; EHV₁ p=0.91; IgG p=0.58). The half-life of maternally-acquired serum antibody in the foals was determined to be: EIVA₁=28.88 days (26.4 to 31.7 days); EIVA₂=29.1 days (26.7 to 32.1 days); EHV₁=31.0 days (28.1 to 34.8 days). Colostrum contained antibody and IgG at levels ranging from 2 to 8 times higher (4.3 average) than those detected in the mare's serum.     

Effect of ω-3 Fatty Acid Supplementation to Gestating and Lactating Mares: On Milk IgG,Mare and Foal Blood Concentrations of IgG,Insulin and Glucose,Placental Efficiency,and Fatty Acid Composition of Milk and Serum From Mares and Foals

Limited research has been conducted to evaluate effects of fatty acid (FA) supplementation on mare and foal FA profiles and foal immunity. Dietary polyunsaturated FAs, particularly ω-3 FAs, increase fluidity of intestinal cell membranes. Fluidity of mammary tissues may also be altered to allow more incorporation of immunoglobulin G (IgG) into milk. Therefore, the goal of this study was to determine effects of incorporating dietary ω-3 FAs on mares, her milk, and her subsequent foal. Pregnant mares were assigned to one of three diets beginning 28 days before expected foaling date until 84 days after foaling. Diet 1 was a commercial feed (CON); diet 2 was diet 1 plus a fish oil blend (FO); and diet 3 was diet 1 plus a blend of fish and soybean oil (FSO). Mare serum FA concentrations were not affected by treatment (P > .05) with the exception of 20:5, which had a treatment × time interaction (P < .05). Mare milk FA concentrations were not affected by treatment (P > .05) with the exception of 16:1 and 20:5. Foal serum FA concentration was not affected by treatment with the exception of 18:2, which had a treatment × time interaction, and 20:5 (P < .0001), which was greatest in FO foals and least in CON foals. Dietary supplementation of ω-3 FAs did increase 20:5 in mare serum, milk, as well as serum of their subsequent foals. No differences were found for mare plasma IgG (P = .1318), serum insulin (P = .3886), plasma glucose (P = .2407), or milk IgG (P = .1262) concentrations for treatment. Foal plasma IgG (P = .2767), serum insulin (P = .4843), or plasma glucose (P = .1204) were not affected by treatment. Omega-3 FA in mare serum, milk, and foal serum were able to be manipulated by diet; however, IgG concentration was unchanged.     

Administration of RRR‐α‐tocopherol to pregnant mares stimulates maternal IgG and IgM production in colostrum and enhances vitamin E and IgM status in foals

This study assessed the effect of a vitamin E supplement given to pregnant mares on immunoglobulins (Ig) levels in foals. In addition, the fatty acid (FA) content and composition of the mares’ milk was assessed. Milk α‐tocopherol concentrations were compared between pregnant Danish Warmblood mares (n = 17) given a daily oral supplement of 2500 international units (IU) RRR‐α‐tocopherol in the last 4 weeks of pregnancy and a group of unsupplemented mares (n = 17) receiving 170–320 IU vitamin E daily originating from the feed. Milk α‐tocopherol was higher in supplemented mares (36.7, 12.4 and 9.8 μmol/l respectively) in relation to control mares (13.1, 6.4 and 5.8 μmol/l on days 1, 2 and 3 respectively; p < 0.001). Milk IgG was higher on days 2 and 3 post‐partum (PP) in supplemented mares (1.03 and 0.73 mg/ml respectively) in relation to control mares (0.79 and 0.56 mg/ml respectively; p < 0.05). Milk IgM was higher on days 2 and 3 post‐partum (PP) in supplemented mares (0.19 and 0.17 mg/ml) in relation to control mares (0.13 and 0.11 mg/ml respectively; p < 0.05). Plasma α‐tocopherol in foals was higher from supplemented mares on days 1, 2 and 3 (5.7, 14.8 and 19.2 μmol/l respectively) in relation to foals from control mares (3.6, 6.1 and 7.6 respectively; p < 0.001). Foal plasma IgM was higher from supplemented mares on day 3 (0.50 mg/ml) in relation to foals from control mares (0.32 mg/ml; p < 0.001). The total FA content in milk was highest on day 1 (21.6 g FA/kg milk) in relation to days 2 and 3 (13.6 and 13.5 g FA/kg milk respectively; p < 0.001). In conclusion, a daily oral supplement of 2500 IU RRR‐α‐tocopherol increased α‐tocopherol content in mare milk and foal plasma, IgG and IgM in mare milk and IgM in foal plasma.     

Respiratory stridor associated with polymyopathy suspected to be hyperkalemic periodic paralysis in four quarter horse foals.

Four Quarter Horse foals ranging in age from 6 days to 2 months were determined to have upper airway stridor secondary to polymyopathy suspected to be hyperkalemic periodic paralysis. Electromyography revealed spontaneous muscle activity in all muscles examined. Electromyographic findings were similar in the dams of 3 foals (No. 1, 3 and 4). Hyperkalemia was found in foals 1 and 4. Endoscopically, the upper airway stridor in foals 1 and 3 was confirmed to be attributable to laryngeal and pharyngeal collapse or spasm. Foals 1, 2, and 3 were treated with acetazolamide. Foal 4 was not treated, at the owner's request. Foals 2 and 3 improved with treatment, foal 4's condition was static, and foal 1 required a tracheostomy and laryngeal surgery to manage its upper airway stridor.