A closer look: Seizures in Horses
Seizures are rare in horses, and often indicate severe physical or neurological distress.
A horse experiencing a generalized seizure may be unable to stand, and move their legs uncontrollably. During an episode they may defecate or urinate, and have difficulty breathing. Generalized seizure activity is typically associated with a poorer prognosis.
In a partial or localized seizure, uncontrollable muscle movement is limited to part of the body, such as in their face or a leg.
People or animals around a seizing horse may be at risk of injury due to the animal’s uncontrollable movement. It is essential to not approach or attempt to restrain a seizing horse.
Any horse presenting with this symptom requires immediate medical attention.
Keeping a detailed history of a horse’s seizures including the frequency and duration of seizure activity, a description of the seizure, and the behavior between seizures is integral to a timely diagnosis.
Drug reactions, particularly when drugs are accidentally injected into the carotid artery, can also lead to seizures in horses.
Seizures vary in severity based on the location of seizure activity in the body and the duration of the seizure.
Seizures can last up to several minutes, and may occur several times depending on the underlying cause. Repeated seizure activity usually indicates more serious and potentially life-threatening conditions.
In rare cases, seizure activity is continuous and does not stop, indicating a life-threatening condition called status epilepticus. Status epilepticus is rare in horses, but is has a grave prognosis.
Testing and diagnosis
Veterinary diagnostics include;
- Physical examination
- Neurological examination
- Diagnostic imaging, including X-rays of the skull
- Cerebrospinal fluid analysis (spinal tap)
- Electrical encephalogram (EEG)
Treatments vary and target the underlying cause, including antibiotics, surgery, and anti-seizure medication. Horses that are experiencing seizures often require hospitalization.