Nursing the chronic grass sickness patient

Successful treatment of chronic grass sickness in a donkey

“…). In recent times, accurate diagnosis and treatment of chronic EGS cases has improved survival rates dramatically to 40–50% for all cases, and up to 70% for those selected based on specific criteria (Milne and Wallis ; Milne and Mayhew ).…”

“…In cases of chronic EGS, presence of severe rhinitis sicca is a poor prognostic indicator, and nonsurvivors tend to have a higher degree of dysphagia, inappetance, colic and reduction in gut sounds . In recent times, accurate diagnosis and treatment of chronic EGS cases has improved survival rates dramatically to 40-50% for all cases, and up to 70% for those selected based on specific criteria (Milne and Wallis 1994;Milne and Mayhew 1997).…”

Clinical diagnosis and management of acute and subacute grass sickness

“…Prokinetic agents such as cisapride would be contraindicated in cases which are impacted, because it would increase gut motility against an obstruction. Cisapride is, therefore, only recommended for chronic cases which very rarely have colonic impaction (Milne and Wallis 1994).…”

“…The author has reported an increased recovery rate in chronic cases by means of an improved management regime which has been described elsewhere (Milne and Wallis 1994;Doxey et al 1995;Milne et al 1996), but chronic disease will not be discussed in detail here.…”

Are the Equine Motor Neuron Disease (EMND) and the Grass Sickness of the horse different manifestations of the same underlying disease?

“…12 steht stellvertretend für I1 Pferde und 2 Esel, die im gleichen Bestand wegen GS (1979/80) Cummings et al, 1990und Divers et al 1992 2) Sustronck (pers. Mitteilung, 1994) und abschlucken können, haben nach neueren Erkenntnissen anscheinend eine gewisse Chance, sich nach \Tochen oder Monaten zu erholen (Milne l99l;Milne et al 1994;Milne and Wallis 1994 Cummings et al (1990) den Verdacht aufkommen, dass es sich um diese Krankheit handeln müsse, zugleich aber erinnerte es eben auch an die subakute bis chronische, zum Teil sogar an die akute Graskrankheit (Gerber 1994). Die Gegenüberstellung der Erscheinungen verschiedener Verlaufsformen bestärkt diesen Verdacht, aber der Vergleich der klinischen Befunde allein lässt zu viele Fragen offen (Tab.…”