| Term 
 | Definition 
 
        | -frequently results from rearing over backward -colliding with obstacles
 -direct kicks
 -fractures of basisphenoid, occipital, and basioccipital sutures
 -dysfunction of cranial nerves VIII, IX, X, and XII
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -basisphenoid -basioccipital
 -occipital
 -petrous
 |  | 
        |  | 
        
        | Term 
 
        | Cerebral damage in cranial trauma can lead to: |  | Definition 
 
        | -coma -dpression
 -circling
 -occsionally seizures
 |  | 
        |  | 
        
        | Term 
 
        | Cranial trauma syndromes: Caudal brain stem hemorrhage results in... |  | Definition 
 
        | -coma -marked depression
 -anisocoria
 -hemorrhage in inner ear cavities, facial nerve signs, vestibular nerve signs
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -direct or circumstantial evidence of trauma -skull rads
 -CSF: increase in RBCs and CK, Xanthochromia
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -attend to shock -relief of cerebral edema: dexamethasone, DMSO, osmotic diuresis
 -abx
 -control of convulsions
 -repeat neuro evaluations
 |  | 
        |  | 
        
        | Term 
 
        | Viral Causes of Diffuse CNS Disease: equine and bovine |  | Definition 
 
        | 1. equine: EEE, WEE, VEE, WNV, Rabies, EHV-1 2. Bovine-rabies, pseudorabies, IBR, MCF, BSE
 |  | 
        |  | 
        
        | Term 
 
        | Equine Viral Encephalomyelitides |  | Definition 
 
        | -distinct alphavirus of the togaviridae family: EEE, WEE, Venezuelan (VEE) -Flaviviruses
 -Member of Japanese encephalitis antigenic complex (WNV)
 |  | 
        |  | 
        
        | Term 
 
        | Equine Encephalitis v. Western Encephalitis |  | Definition 
 
        | -EE: coastal states, MA and TX, up to 90% mortality -WEE: West of Mississippi R. Valley, western Canada, MN seen mid to late summer, milder dz 10-50% mortality
 |  | 
        |  | 
        
        | Term 
 
        | Venezuelan encephalomyelitides |  | Definition 
 
        | -NOT USA -Central and S. America
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -isolated from numerous wild birds -birds are primary amplifier host
 -migratory birds distribute and re-introduce virus into norther latitudes
 -role of other vertebrates not known
 -virus could possibly persiste in hibernating Culex spp. or chronically infected vertebrate hosts
 |  | 
        |  | 
        
        | Term 
 
        | EEE, WEE, VEE Clinical signs |  | Definition 
 
        | -fever -stiffness
 -hyperesthesia
 -frantic behavior
 -compulsive walking
 -seizures
 -anorexia
 -muscle fasiculations
 -aggression
 -head pressing
 -semicoma
 |  | 
        |  | 
        
        | Term 
 
        | EEE, WEE, VEE Clinical signs II |  | Definition 
 
        | -recumbency for 2-3 days is prognostic sign -EE is most severe with highest mortality rate and residual neurologic deficits
 -WE and WNV have lower mortality rates and complete recovery is possible
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -initially may appear "lame" -flu-like: depression +/- sweating
 -hypersensitivity
 -recumbency
 -muscle fasciculations, especially of face
 -inability to swish tail
 -inability to use tongue
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -clinical signs -season
 -vax hx
 -CSF: pleocytosis and elevated protein; viral titers (IgM capture Elisa for WNV); virus isolation
 -serology
 -PCR
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -anti-inflammatory drugs: Flunixin meglumine; Dexamethasone -DMSO
 -+/- Mannitol
 -fluid therapy if dehydrated or not drinking
 -detomidine for thrashing, recumbent animals
 -Diazepam/Acepromazine
 -Vit E
 -Thiamine or B-complex
 -Plasma
 -Nursing care with special attention to bladder function, pressure sores
 -sling if unable to rise or stand
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -most become rapidly recumbent or stabilize in 72-96 hours -if recumbent more than 48 hours usually consider euth
 -relapses may occur in days or weeks
 -20-40% mortality
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -initial vax in April -Booster 3 weeks later (May)
 -time yearly booster for 3 weeks before start of mosquito season (May)
 -new vax may be adequate to booster annually
 |  | 
        |  | 
        
        | Term 
 
        | Rabies clinical signs: (cattle) |  | Definition 
 
        | -extremely variable: -paralytic form: decreased milk/appetite, slobbering, may mimic chock, knuckling, ataxia, tenesmus, progressive paralysis, full blow encephalomyelitis in 6-7 days
 -furious form: wild stare, hyperesthesia, charging, incoordination, hoarse bellowing, collapse and death 24-48 hours
 
 *Note: rabies should be considered in any horse with acutely developing ataxia, lameness, mentation changes and local hypereshtesia of less than 10 days duration
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -history -response to therapy-> progressive course
 -necropsy: FA on hippocampus, Negri bodies in Purkinje cells, mouse innoculation
 
 -prevention: routine annual vax (not post-exposure)
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -herpes virus disease in swine causing high baby pig mortality, infertility and abortion -sporadic dz of ruminants causing nonsuppurative encephalomyelitis and intense pruritis
 -almost always close association with swine
 -usually fatal
 -no gross lesions of necropsy
 -submit fresh brain for VI of FA
 |  | 
        |  | 
        
        | Term 
 
        | Infectious bovine rhinotrachetis |  | Definition 
 
        | -calves under 6 months -meningoencephalitis with common respiratory signs
 -IBR infxs in adult animals mimic pseudorabies
 |  | 
        |  | 
        
        | Term 
 
        | Malignant Catarrhal Fever |  | Definition 
 
        | -may sometimes be accompanied by neuro signs consistent with encephalitis |  | 
        |  | 
        
        | Term 
 
        | Clinical signs of scrapie |  | Definition 
 
        | -sheep >18 months of age -rare in goats
 -signs last about 6 months
 -fatal
 rubbing and biting fleece
 -pruritis of hind end
 -progressive gait abnormality, pruritis
 -muslce tremors
 -emaciation, convulsion
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -slaughter affected sheep -select rams and replacements that are Scrapie resistant
 -pastures unstocked for 2 months
 -clean areas 2% caustic soda
 -remove placenta
 |  | 
        |  | 
        
        | Term 
 
        | Dx of spongiform encephalopathies |  | Definition 
 
        | -dx: post mortem histopath of brian -vacuolated neurons
 -IHC
 -Rapid tests used as initial screen
 -Tx: non
 -Zoonosis
 |  | 
        |  | 
        
        | Term 
 
        | Bacterial causes of diffuse CNS Dz equine vs. bovine |  | Definition 
 
        | -Equine: adults-skull FX, bastard standgles; foals/calves-septicemia -Bovine: TME, Listeria, Dehorning: fusibacterium, A. pyogenes, enterotoxemia, coccidiosis (parasitic)
 |  | 
        |  | 
        
        | Term 
 
        | Bacterial meningoencephalomyelitis |  | Definition 
 
        | -Neonates: associated with septicemia -cattle: dehorning and sinusitis
 -horses: traumatic skull fractures
 -clinical signs: fever, rigid neck and back, paddling, seizures, hyper-reactive to stimuli
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Neonatal foals: septicemia -Foals: E.coli, Klebsiella pneumoniae, Listeria, Salm, S. equi equi, Rhodococcus equi
 -Adults: Actinomyces spp, Cornynebacterium pseudotuberculosis, Listeria monocytogenes, Sphingobacterium multivorum, S. aures
 |  | 
        |  | 
        
        | Term 
 
        | Dx/Tx/Necropsy of bacterial meningoenceph |  | Definition 
 
        | -Dx: CBC, CSF tap high PMN, protein -Tx: broad spectrum abx (bactericidal preferred; max dose; IV>IM>SQ>PO), NSAIDS
 -necropsy: thickened hemorrhagic meninges
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -localized according to signs -single: cattle: dehorning, ear infections; horses: Strep equi
 -Multiple: cattle: actinomyces, fusibacterium
 |  | 
        |  | 
        
        | Term 
 
        | Clinical signs/dx/tx bacterial meningoenceph. |  | Definition 
 
        | -clinical signs: depression, blindness, headpressing, localized cranial nerve signs -Dx: other concurrent dz, CBC, CSF
 -Tx: abx, poor prognosis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Infection and frontal sinusitis-painful, headpressing -Osteomyelitis-breaks through sinus to brain; excitation, convulsions, depression
 -Tx: Trephine sinus, irrigate, abx
 |  | 
        |  | 
        
        | Term 
 
        | Thrombic Meningoencephalitis (TME): epidemiology/pathogenesis/clinical signs |  | Definition 
 
        | -epidemiology: feedlot cattle, recently arrived and stressed, low morbidity <5%, high mortality >90% -Pathogenesis: Histophilus somni
 -Clinical signs: sudden death, weakness, paralysis, somnulence, fever, excitatory signs
 -Standing animals: ataxic, knuckling; retinal hemorrhages; die within 24-48 hrs
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Dx: CBC: inflammatory; culture; necropsy: hemorrhages, fibrinous meningitis, IHC for bacteria -Tx: Florfenicol (successful if not downer)
 -Control: vax: minimal effects
 |  | 
        |  | 
        
        | Term 
 
        | Listeriolsis Etiology/Epidemiology |  | Definition 
 
        | -etiology: List. monocytogenes, gm+rod, hard to grow, hardy, intracellular parasite -Epidemiology: outbreaks of meningitis in young ruminants, sporadic cases in mature cattle; fecal/oral route of infx; silage feeding, grows in poorly cured silage with pH >5.6; incubation 2-3 weeks
 |  | 
        |  | 
        
        | Term 
 
        | Listeriosis pathogenesis and clinical signs |  | Definition 
 
        | -pathogenesis: mucosal abrasions and entry up CN-V, localizes in brainstem, microabsesses -clinical signs: dull, somnolent, transient fever, cranial n. dysfunction, recumbency, head polled to one side
 -Clinical course: cattel 7-14 days, Sheep 1-2 days
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Dx: CBC, CSF: increased monocytes and PMNs, necropsy: no gross lesions (histopath: microabsesses) -R/0: trauma, ear infx, polio, rabies, lead, nervous ketosis
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -Ceftiofur, Oxytetracycline or Penicillin -fluids if can not drink
 -return of eating and drinking good prognostic indicator
 |  | 
        |  | 
        
        | Term 
 
        | Chlamydial infection: BUSS=Sporadic bovine encephalomyelitis |  | Definition 
 
        | -multisystemic dz -calves under 6 months
 -weakness, staggering progressing to recumbency
 -tx with oxytetracycline
 |  | 
        |  | 
        
        | Term 
 
        | Clostridial enterotoxemia |  | Definition 
 
        | -Clos perfringens type D -overeating disease of feedlot sheep
 -rapid death, staggering, blindness
 -pulpy kidney in sheep due to rapid autolysis
 -nervous signs from focal symmetrical encephalomalacia
 |  | 
        |  | 
        
        | Term 
 
        | Tx of Clostridial enterotoxemia |  | Definition 
 
        | -vax all animals with type D toxoid on day 1 and again 12-14 days later, de-worm, and reduce grain until the vaccine takes effect -prevention: vaccinate ewes 30 days prior to lambing; previously unvax animals should be given two doses of the vax one month apart, starting at 4 weeks follows by annual booster
 |  | 
        |  | 
        
        | Term 
 
        | Parasitic causes of CNS disease |  | Definition 
 
        | -Nervous coccidiosis: -feedlot calves with diarrhea
 -high mortality
 -direct relationship unknwown
 -intermittent staggering, jerking, seizure-like signs, recover and look normal for a period
 
 -Dx: check feces for coccidia
 -Tx: amprolium or sulfaquinoxaline, fluids, and electrolytes
 |  | 
        |  | 
        
        | Term 
 | Definition 
 
        | -strongylus vulgaris -Helicephalobus deletrix
 -asymmetric central or spinal cord signs
 -CSF: increased eosinophils, protein
 -CBC: normal
 -Tx: 5 times normal dose of fenbendazole plus DMSO, NSAID, coricosteroids
 -protozoal cause: EPM
 |  | 
        |  |