Bedenice Daniela, Johnson Amy L
Department of Clinical Sciences, Cummings School of Veterinary Medicine at Tufts University, 200 Westboro Road, North Grafton, MA 01536, USA.
Department of Clinical Studies, University of Pennsylvania, School of Veterinary Medicine, New Bolton Center, 382 West Street Road, Kennett Square, PA 19348, USA.
Vet Clin North Am Equine Pract. 2018 Aug;34(2):277-297. doi: 10.1016/j.cveq.2018.04.006.
EPM, CVSM, and EDM are currently recognized as the 3 most common neurologic diseases in US horses, with the latter 2 conditions being most prevalent in young animals. Moreover, horses competing at shows and performance events are at greater risk for exposure to highly contagious, neurologic EHV-1 outbreaks. A clinical diagnosis of any neurologic disease should be based on a careful history, complete neurologic examination, and appropriate diagnostic testing and interpretation. However, mild or early neurologic signs can often mimic or be mistaken for an orthopedic condition when horses present for performance-related concerns.
脑脊髓炎（EPM）、颈椎脊髓膜炎（CVSM）和脑白质软化症（EDM）目前被认为是美国马匹中最常见的三种神经系统疾病，后两种疾病在幼龄动物中最为普遍。此外，参加展览和表演赛事的马匹接触具有高度传染性的神经系统1型马疱疹病毒（EHV-1）爆发的风险更高。任何神经系统疾病的临床诊断都应基于详细的病史、全面的神经系统检查以及适当的诊断测试和解读。然而，当马匹因与表演相关的问题就诊时，轻微或早期的神经系统症状通常可能被误诊为骨科疾病或与之混淆。
