ZusammenfassungBer einer zweietnhalb Jahre alten lsländerstute wurde die Diagnose chronische Graskrankheit gestellt. Das Tier wurde zum Zeitpunkt der Er krankung auf der Weide auf einer der nordfriesischen Inseln gehalten. lm gleichen Bestand Chronical grass sickness (equine dysautonomia) in a 21lz years old lcelandic mare on a northfrisian island Chronic grass sickness (equine dysautonomia) was diagnosed in a two and a half years old lcelandic pony mare from a herd grazed on one of tlre Nodhern Frisian islands. Since 1988, a total of seven young horses up to four years ol age dred jn the same herd under clinical signs af tho :nr io f^nn nf nracc sickness. In the same area, six additional cases occurred in other herds. Typically, the affected animals were grazed on green pastures. Outbreaks of the disease occurred from March to July and were associated with weather changes towards a cooler weather with heavy, chilty winds. After an acute onset of clinical symptoms such as sweating, muscular tremor, dyspnea, tucking up the abdominal floor and arching the back, clinical signs in the presented case were dominated by dysphagia and emaciation. The animal did not pass faeces until the foutlh day after realisation of the disease when diarrhoea was observed for one day. From the fifth to the ninth day 01 the disease no faeces were passed. However, diarrhoea reoccurred from the tenth day on. Intensive symptomatic therapy was carried out. Since the clinical symptoms persisted and the animal developed an additional hyperlipemia, euthanasia was performed two weeks after onset of clinical signs. At necropsy, macroscopic findings included a focal, chronic ulceratron of the cutaneous gastnc mucosa, an acute parasitic colitis and lymphadenitis of the colonic lymphnodes. By histology, degenerative lesions were identified in the autonomic nervous system, the dorsal root ganglia, specific brain stem nuclei and the spinal cord grey matter. Affected neurones and ganglial cells exhibited an eosinophilia of the c\,toplasnr, chromatolysis, margination of pyknotic nuclei and to some degree vacuolisation. In the autonomic plexus and ganglia, the number of ganglial cells was markedly reduced. ln the coeliacomesenteric ganglion, the amount of non neuronal cells was increased. By immunohistochenristry, infiltrations of predominantly T-lymphocytes were detected in a diffuse and follicular pattern. The direct cause of the disease was not determined. However, it was concluded that grass sickness may occur on a sporadic basis in Germany.