In this case report, an eight-year-old Warmblood gelding is described with a presumptive vascular event resulting in severe head turn and circling to the right. The horse recovered completely from the clinical signs. Pathologies that cause asymmetrical forebrain signs in horses could be excluded. Magnetic resonance imaging revealed a flow difference in the venous sinuses that was presumably caused by cerebral venous sinus thrombosis. The horse was treated with prednisolone, antibiotics, vitamin E and B1 and acetylsalicylic acid. He was represented one month after the initial clinical signs and was clinically and neurologically normal. The horse subsequently returned to his previous level of jumping.
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