Summary: Cervical vertebral compressive myelopathy is a neuropathy resulting in ataxia in horses. Three horses with different signs of incoordination were presented for further evaluation. A five-year-old gelding with a long history of abnormal head and neck carriage, a six-yearold gelding with a history of previous neurological episodes and a two-day history of acute episodes of walking difficulties, and a sixteenyear-old mare with a one-month history of left fore-limb ataxia were diagnosed with osteoarthritis of the facet joints of the caudal cervical vertebrae. Lateral radiographs of caudal cervical vertebrae confirmed osteoarthritis of the articular processes. Radiographic changes, such as enlargement of the articular process joint, periarticular new bone and reduction or narrowing of the intervertebral foramen, were observed in all three cases. Cervical vertebral compressive myelopathy should be considered in ataxic horses with normal laboratory findings.

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We set out to assess the diagnostic utility of the split hand index (SHI) for amyotrophic lateral sclerosis (ALS) and also to see if and how it can be applied to severely atrophied muscles, a frequent finding in this setting. We enrolled 38 patients from our clinic, 19 diagnosed with ALS and 19 controls, matched for age and sex. The SHI was calculated, on both sides, for all the patients. We calculated a SHI of 0 when the abductor pollicis brevis muscle (ABD) or first dorsal interosseous muscle (FDI) compound muscle action potentials (CMAPs) were unobtainable, and we allotted a value of 0.1 mV to abductor digiti minimi muscle (ADM) CMAP, for mathematical purposes, when the value would have been 0. The means differences were large between groups, with a significant variance heterogeneity. We performed a ROC analysis and obtained an accuracy of 0.83 for a SHI of 7.2, p-value < 0.0001. In conclusion, we reaffirm the utility of the SHI in the diagnosis of ALS, especially in limb onset cases, and we think that it can be safely extended to severely atrophied muscles with absent or very low CMAP values, without endangering the sensitivity or specificity.