Acute instabiliteit van het ligamentum nuchae ten gevolge van cervicale neuromusculaire disfunctie bij een dressuurpaard

Abstract

A ten-year-old Warmblood dressage gelding was presented with acute instability of the nuchal ligament after paddock turnout. Based on the clinical signs, orthopedic and neurologic examination, diagnostic imaging and electromyography, cervical neuromuscular dysfunction of the M. obliquus capitis caudalis on the right side of the neck was diagnosed. Conservative treatment including steroidal anti-inflammatory medication in combination with oral supplementation with vitamin B1 and box rest resulted in complete recovery of the horse within six months.

Insertional desmopathies of the cranial attachment of the nuchal ligament in horses - A review

“…The close interrelationship between the limbs and the back and neck is often underestimated. In the current study, the occurrence of lameness in horses with a diagnosed back and neck problem was much higher than in animals solely with limb lameness (Brunsting et al 2017).…”

“…Computed tomography and magnetic resonance imaging are the most precise diagnostic methods imaging the structure of both hard and soft tissues, allowing the visualisation of the changes within the bone structure and areas difficult to palpate and image. However, the use of these tests is limited due to their high cost and the need for general anaesthesia (Landman et al 2004;Brunsting et al 2017). ture.…”

“…Most importantly, treatment consists of rest for at least 8 weeks. The horse returns to training gradually (intensity, duration, frequency, typestraight lines, encouraged to flex the poll region gently from side to side and up and down), but work "on the bit" should begin only after the inflamed tissue has loosened completely (Dietz 2008;Dyson 2011;Brunsting et al 2017).…”

“…Shockwave therapy is applied more and more effectively. Treatments should be repeated thrice, at 4-8 day intervals (Dietz 2008;Brunsting et al 2017). Prior to the treatment, the hair in the occipital area should be clipped and the animal should be sedated, e.g., with detomidine (10-20 mg/kg i.v.)…”