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Dr. Ajith Y., MVSc, PhD
Assistant Professor
Department of Veterinary Medicine
FVAS, Banaras Hindu University, Mirzapur
CNS - Spinal cord, Brain stem, Cerebellum, and Cerebrum (Higher centers)
PNS - Neurons of the cranial and spinal nerves (26 pair spinal and 12 pair cranial)
a) Sensory/afferent neurons – Nociception (pain), Proprioception (position),
equilibrium, touch, temperature, taste, hearing, vision, and olfaction
b) Motor/efferent neurons - Upper Motor Neurons (starts from brain)
UMN from cortex – voluntary movements
UMN from brain stem – flexion of limbs/inhibit extensors
Lower Motor Neuron-LMN (starts from spinal cord)
Spinal compression – extensor weakness/paresis/paralysis
INTRODUCTION
Autonomic Nervous System (ANS)
• Sympathetic
• Parasympathetic
• Functions:
Sensory motor system: Maintenance of normal posture and gait
ANS: Activity of internal organs; Homoeostasis
Sense organs
Psychic system: Mental and behavioural state
• Dysfunction:
Increased response to sensory stimuli
Failure to respond to sensory stimuli
Transmission of impulses enhanced or depressed
Complete failure of transmission
Reflex
Sensory neuron (PNS) – Internuncial neuron (CNS) - Lower Motor Neuron (PNS)
Higher center not involved. No Perception
Monosynaptic reflexes - Patellar reflex
LOCATION OF LESION????.....
Paralysis -> Paresis Vs Plegia
• Paresis: Partial loss/weakness/Impaired voluntary
movement
• Plegia or Paralysis: Inability/ complete loss of voluntary
movement
NERVOUS DYSFUNCTION
CAUSES: congenital or familial, infectious or inflammatory,
toxic, metabolic, nutritional, traumatic, vascular,
degenerative, neoplastic, or idiopathic
• Exaggerated activity:
Excitation (irritation) signs
Release of inhibitory control
Neuropathic pain
• Depressed activity:
Paresis or paralysis due to tissue damage
Nervous shock
Neurologic Evaluation/Description
1)The anatomic location(s) of disease
2)The problem may be defined as
- diffuse, multifocal, or focal
- symmetric or asymmetric
- painful or nonpainful
- progressive, regressive or static
- mild, moderate, or severe
3) Clinicopathology (serum/blood/urine/feces/CSF)
4) Plain and Contrast radiography, CT, and MRI
EXCITATION (IRRITATION) SIGNS
• Increased activity of reactor organ
• Increase in nerve impulses received
Excitation of neurons
Facilitation of passage of stimuli
• Motor system: Tetany, convulsions etc.
• Sensory system: Hyperaesthesia, Paresthesia
Clinical Manifestations of Diseases of the
Nervous System
ALTERED MENTATION - Excitation states
a) Mania - acts in a bizarre way and appears to be
unaware of its surroundings. Maniacal actions
include licking, chewing of foreign material and
sometimes themselves, abnormal voice, constant
bellowing, apparent blindness, walking into strange
surroundings, drunken gait, and aggressiveness in
normally docile animals.
Eg: Rabies, Aujeszky’s disease, PEM, nervous ketosis,
pregnancy toxemia, acute lead poisoning, severe hepatic
insufficiency
b) Frenzy - violent activity, movements are uncontrolled
and dangerous
eg: Hypomagnesemic tetany, Aujeszky’s disease,
Acute colic, ammonia poisoning
c) Aggressive Behavior: willingness to attack other
animals, humans, and inert objects
Eg: early rabies, postparturient hysteria in sows
Clinical Manifestations of Diseases of the
Nervous System
DEPRESSIVE STATES
a) Coma
b) Syncope
c) Narcolepsy (Catalepsy)
d) lassitude
e) Somnolence
COMPULSIVE WALKING OR HEAD PRESSING
Eg: PEM, Increased ICP
AIMLESS WANDERING
Clinical Manifestations of Diseases of the
Nervous System
INVOLUNTARY MOVEMENTS
A) Tremor: continuous, repetitive twitching of skeletal muscles
If local skin only  fasciculations
eg: early stages of hypocalcemia in the cow
B) Tics: spasmodic twitching movements made at much longer
intervals than in tremor.
C) Tetany: Sustained contraction of muscles without tremor.
eg: C. tetani infection
D) Myoclonus: brief, intermittent tetanic contraction of the
skeletal muscles that results in the entire body being rigid for
several seconds, followed by relaxation.
eg: canine distemper
E) Convulsions: Convulsions, seizures, fits, or ictus are violent
muscular contractions affecting part or all of the body and
occurring for relatively short periods. result of abnormal
electrical discharges in forebrain neurons
Stage I - Prodromal phase or aura (lasts for minutes to hours, restless)
Stage II – Ictal phase (Proper convulsions)
Stage III – Post Ictal phase (Fatigue, rest, loss of conciousness)
E) Involuntary Spastic Paresis:
eg: Stringhalt in Horses – hind leg flexion
Clonic convulsions (Paddling in Meningitis) Vs
Tonic Convulsions (Strychnine/Tetanus)
Clinical Manifestations of Diseases of the
Nervous System
ABNORMAL POSTURE AND GAIT
A) Posture Abnormality: Vestibular disease
B) Gait Abnormality: Weakness (Paresis) and Ataxia(Swaying)
- Hypermetria (increased range of movement/Overreaching)
- Dysmetria (goose stepping –pantothenate def.)
- Cerebellar ataxia (BVD) and Sway back (Cu def.)
• Stimulant drugs and mild degrees of those influences
that in severe form causing depression of excitability
(hypoxia, inflammation, poisons, edema, increased ICP)
• Fluctuation in Intensity of signs due to discharge and
re-accumulation of energy
• Sign and extension of symptoms varies with the focus
of lesion
RELEASE OF INHIBITORY CONTROL
• Release of inhibitory effects of higher centres over lower
nervous centers
• Decerebrate rigidity due to transection of brain stem
• Cerebellar ataxia: combined limb movements exaggerated
PARESIS OR PARALYSIS DUE TO TISSUE DAMAGE
•Destruction of nervous tissue
Infection
depressed metabolic activity
•Failure of oxygen and nutrient supply
General absence
Failure of local circulation
• Motor system: Muscular paralysis
• Sensory system: Anaesthesia, hypoaesthesia
Suprascapular Neuropathy in Horses (Sweeney)
Schiff-Sherrington Phenomenon
• Due to acute, severe lesions of the spinal cord between
T2 and L3, the pelvic limb paralysis is accompanied by an
extensor rigidity of the thoracic limbs
NERVOUS SHOCK
An acute lesion of the nervous system, which
causes damage to nerve cells in the immediate vicinity
of the lesions, but there may be, a temporary
cessation of function in parts that are not directly
affected.
eg: Stunning
Horner syndrome
• Sunken appearance to the eye (enophthalmia)
• Small pupil (miosis)
• Droopy upper eyelid (ptosis)
• Absence of sweating of the face (anhidrosis)
• Prominent third eyelid.
• Loss of Sympathetic innervations to eyes and face
CONCLUSIONS
• Determining type of lesions is difficult: Limited range of
mode of reaction
• Destruction of tissue or reduced nutrient supply
• Proper Anamnesis and Special examination is essential
for proper assessment
• Sign time relationship:
Rapidly developing lesions: maximum disturbances
Slow developing lesions: Compensation
References:
•A Text book of diseases of the cattle, sheep, goats, pigs
& horses 10th edition by Otto M Radostits, Clive C Gay,
K W Hinchcliff, P D Constable.
•Duke’s Physiology of Domestic animals 12 th edition
edited by William O Reece
Diseases of nervous system   Veterinary Neurology

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Diseases of nervous system Veterinary Neurology

  • 1. Dr. Ajith Y., MVSc, PhD Assistant Professor Department of Veterinary Medicine FVAS, Banaras Hindu University, Mirzapur
  • 2. CNS - Spinal cord, Brain stem, Cerebellum, and Cerebrum (Higher centers) PNS - Neurons of the cranial and spinal nerves (26 pair spinal and 12 pair cranial) a) Sensory/afferent neurons – Nociception (pain), Proprioception (position), equilibrium, touch, temperature, taste, hearing, vision, and olfaction b) Motor/efferent neurons - Upper Motor Neurons (starts from brain) UMN from cortex – voluntary movements UMN from brain stem – flexion of limbs/inhibit extensors Lower Motor Neuron-LMN (starts from spinal cord) Spinal compression – extensor weakness/paresis/paralysis INTRODUCTION
  • 3. Autonomic Nervous System (ANS) • Sympathetic • Parasympathetic
  • 4. • Functions: Sensory motor system: Maintenance of normal posture and gait ANS: Activity of internal organs; Homoeostasis Sense organs Psychic system: Mental and behavioural state • Dysfunction: Increased response to sensory stimuli Failure to respond to sensory stimuli Transmission of impulses enhanced or depressed Complete failure of transmission
  • 5. Reflex Sensory neuron (PNS) – Internuncial neuron (CNS) - Lower Motor Neuron (PNS) Higher center not involved. No Perception Monosynaptic reflexes - Patellar reflex LOCATION OF LESION????.....
  • 6. Paralysis -> Paresis Vs Plegia • Paresis: Partial loss/weakness/Impaired voluntary movement • Plegia or Paralysis: Inability/ complete loss of voluntary movement
  • 7. NERVOUS DYSFUNCTION CAUSES: congenital or familial, infectious or inflammatory, toxic, metabolic, nutritional, traumatic, vascular, degenerative, neoplastic, or idiopathic • Exaggerated activity: Excitation (irritation) signs Release of inhibitory control Neuropathic pain • Depressed activity: Paresis or paralysis due to tissue damage Nervous shock
  • 8. Neurologic Evaluation/Description 1)The anatomic location(s) of disease 2)The problem may be defined as - diffuse, multifocal, or focal - symmetric or asymmetric - painful or nonpainful - progressive, regressive or static - mild, moderate, or severe 3) Clinicopathology (serum/blood/urine/feces/CSF) 4) Plain and Contrast radiography, CT, and MRI
  • 9. EXCITATION (IRRITATION) SIGNS • Increased activity of reactor organ • Increase in nerve impulses received Excitation of neurons Facilitation of passage of stimuli • Motor system: Tetany, convulsions etc. • Sensory system: Hyperaesthesia, Paresthesia
  • 10. Clinical Manifestations of Diseases of the Nervous System ALTERED MENTATION - Excitation states a) Mania - acts in a bizarre way and appears to be unaware of its surroundings. Maniacal actions include licking, chewing of foreign material and sometimes themselves, abnormal voice, constant bellowing, apparent blindness, walking into strange surroundings, drunken gait, and aggressiveness in normally docile animals. Eg: Rabies, Aujeszky’s disease, PEM, nervous ketosis, pregnancy toxemia, acute lead poisoning, severe hepatic insufficiency
  • 11. b) Frenzy - violent activity, movements are uncontrolled and dangerous eg: Hypomagnesemic tetany, Aujeszky’s disease, Acute colic, ammonia poisoning c) Aggressive Behavior: willingness to attack other animals, humans, and inert objects Eg: early rabies, postparturient hysteria in sows
  • 12. Clinical Manifestations of Diseases of the Nervous System DEPRESSIVE STATES a) Coma b) Syncope c) Narcolepsy (Catalepsy) d) lassitude e) Somnolence COMPULSIVE WALKING OR HEAD PRESSING Eg: PEM, Increased ICP AIMLESS WANDERING
  • 13. Clinical Manifestations of Diseases of the Nervous System INVOLUNTARY MOVEMENTS A) Tremor: continuous, repetitive twitching of skeletal muscles If local skin only  fasciculations eg: early stages of hypocalcemia in the cow B) Tics: spasmodic twitching movements made at much longer intervals than in tremor. C) Tetany: Sustained contraction of muscles without tremor. eg: C. tetani infection D) Myoclonus: brief, intermittent tetanic contraction of the skeletal muscles that results in the entire body being rigid for several seconds, followed by relaxation. eg: canine distemper
  • 14. E) Convulsions: Convulsions, seizures, fits, or ictus are violent muscular contractions affecting part or all of the body and occurring for relatively short periods. result of abnormal electrical discharges in forebrain neurons Stage I - Prodromal phase or aura (lasts for minutes to hours, restless) Stage II – Ictal phase (Proper convulsions) Stage III – Post Ictal phase (Fatigue, rest, loss of conciousness) E) Involuntary Spastic Paresis: eg: Stringhalt in Horses – hind leg flexion Clonic convulsions (Paddling in Meningitis) Vs Tonic Convulsions (Strychnine/Tetanus)
  • 15. Clinical Manifestations of Diseases of the Nervous System ABNORMAL POSTURE AND GAIT A) Posture Abnormality: Vestibular disease B) Gait Abnormality: Weakness (Paresis) and Ataxia(Swaying) - Hypermetria (increased range of movement/Overreaching) - Dysmetria (goose stepping –pantothenate def.) - Cerebellar ataxia (BVD) and Sway back (Cu def.)
  • 16. • Stimulant drugs and mild degrees of those influences that in severe form causing depression of excitability (hypoxia, inflammation, poisons, edema, increased ICP) • Fluctuation in Intensity of signs due to discharge and re-accumulation of energy • Sign and extension of symptoms varies with the focus of lesion
  • 17. RELEASE OF INHIBITORY CONTROL • Release of inhibitory effects of higher centres over lower nervous centers • Decerebrate rigidity due to transection of brain stem • Cerebellar ataxia: combined limb movements exaggerated
  • 18. PARESIS OR PARALYSIS DUE TO TISSUE DAMAGE •Destruction of nervous tissue Infection depressed metabolic activity •Failure of oxygen and nutrient supply General absence Failure of local circulation • Motor system: Muscular paralysis • Sensory system: Anaesthesia, hypoaesthesia
  • 19. Suprascapular Neuropathy in Horses (Sweeney)
  • 20. Schiff-Sherrington Phenomenon • Due to acute, severe lesions of the spinal cord between T2 and L3, the pelvic limb paralysis is accompanied by an extensor rigidity of the thoracic limbs
  • 21. NERVOUS SHOCK An acute lesion of the nervous system, which causes damage to nerve cells in the immediate vicinity of the lesions, but there may be, a temporary cessation of function in parts that are not directly affected. eg: Stunning
  • 22. Horner syndrome • Sunken appearance to the eye (enophthalmia) • Small pupil (miosis) • Droopy upper eyelid (ptosis) • Absence of sweating of the face (anhidrosis) • Prominent third eyelid. • Loss of Sympathetic innervations to eyes and face
  • 23. CONCLUSIONS • Determining type of lesions is difficult: Limited range of mode of reaction • Destruction of tissue or reduced nutrient supply • Proper Anamnesis and Special examination is essential for proper assessment • Sign time relationship: Rapidly developing lesions: maximum disturbances Slow developing lesions: Compensation
  • 24. References: •A Text book of diseases of the cattle, sheep, goats, pigs & horses 10th edition by Otto M Radostits, Clive C Gay, K W Hinchcliff, P D Constable. •Duke’s Physiology of Domestic animals 12 th edition edited by William O Reece