Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses

Bergren, A.; Abuja, G. A.; Bubeck, K; Spoormakers, T. J. P.; García‐López, José M.

doi:10.1111/evj.12787

Cited by 10 publications

(23 citation statements)

References 8 publications

(21 reference statements)

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“…Localized swelling can sometimes be palpable, but a more definitive diagnosis is possible with ultrasonography [57]. Therapeutic options include medical therapy (i.e., rest, NSAIDs with or without intrabursal treatment), as well as surgical debridement, both may be curative in some horses [58].…”

Section: Nuchal Bursitismentioning

confidence: 99%

Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment

Story

Haussler

Nout‐Lomas

et al. 2021

Animals

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Interest in the cervical spine as a cause of pain or dysfunction is increasingly becoming the focus of many equine practitioners. Many affected horses are presented for poor performance, while others will present with dramatic, sometimes dangerous behavior. Understanding and distinguishing the different types of neck pain is a starting point to comprehending how the clinical presentations can vary so greatly. There are many steps needed to systematically evaluate the various tissues of the cervical spine to determine which components are contributing to cervical pain and dysfunction. Osseous structures, soft tissues and the central and the peripheral nervous system may all play a role in these various clinical presentations. After completing the clinical evaluation, several imaging modalities may be implemented to help determine the underlying pathologic processes. There are multiple treatment options available and each must be carefully chosen for an individual horse. Provided is a synopsis of the current knowledge as to different disease processes that can result in cervical pain and dysfunction, diagnostic approaches and treatment strategies. Improving the knowledge in these areas will ideally help to return horses to a state of well-being that can be maintained over time and through the rigors of their job or athletic endeavors.

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Section: Nuchal Bursitismentioning

confidence: 99%

Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment

Story

Haussler

Nout‐Lomas

et al. 2021

Animals

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“…In this retrospective case series Amanda Bergren and colleagues in the USA and the Netherlands analysed medical records of horses diagnosed with cranial nuchal bursitis to further characterise associated diagnostic, management and prognostic factors .…”

Section: Cranial Nuchal Bursitismentioning

confidence: 99%

Highlights of recent clinically relevant papers

Wright¹

2018

Equine Veterinary Education

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“…Cranial nuchal bursitis, colloquially known as “poll evil”, was originally thought to arise from trauma, but suspicion of a septic process was raised over a century ago ( 1 ). A variety of infectious causes have been implicated, including Brucella abortus ( 2 ), and both gram-negative and gram-positive bacteria have been cultured from bursal fluid samples from affected animals ( 3 ). Nuchal bursitis typically presents with head and neck pain and abnormal head carriage, sometimes with swelling over the poll and an associated draining tract ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

Case Report: Nuchal Bursitis Associated With Borrelia burgdorferi Infection in a Horse

et al. 2021

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Cases of cranial nuchal bursitis associated with Borrelia burgdorferi infection have not been thoroughly described. Here, we describe the case of a 17-year-old mare that was presented for low head carriage, dull demeanor, and resistance to haltering. Imaging supported a diagnosis of nuchal bursitis, and bursoscopy with surgical debridement of the nuchal bursa was performed. B. burgdorferi was identified by molecular diagnostics in serial samples of the bursal fluid, with no other organisms identified. Serology revealed significant elevation in antibodies directed against OspA of B. burgdorferi, but not the typical infection markers, OspC and OspF. Intravenous ceftiofur was administered for 80 days, and the nuchal bursa was directly injected with ceftiofur. The mare recovered and was able to return to work with no recrudescence of clinical signs over the following year to date. Infection with B. burgdorferi should be considered as a differential in cases of septic nuchal bursitis.

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Diagnosis, treatment and outcome of cranial nuchal bursitis in 30 horses

Abstract: Nuchal bursitis can be successfully managed with either medical or surgical treatment. Prognosis for return to work tends to be worse in horses requiring surgical intervention following failed medical management.

Cited by 10 publications

References 8 publications

Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment

Equine Cervical Pain and Dysfunction: Pathology, Diagnosis and Treatment

Highlights of recent clinically relevant papers

Case Report: Nuchal Bursitis Associated With Borrelia burgdorferi Infection in a Horse

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