A full-term Arabian filly (C1) was admitted to Equicare approximately 2.5 hours after unassisted birth. The owner reported that the foal revealed dorsiflexion of the head and neck and seizure activity immediately after birth. The foal had a weak suck reflex and was unable to stand. The dam of this foal (F4) had produced 3 other foals before this foal, all sired by the same stallion (M2*) (Fig 1). The owner reported that the mare's first foal, a colt (U1), had dilute coat color and neurologic signs. The colt had a difficult birth and was nursed for 2 days because the owner thought it was suffering from neonatal maladjustment syndrome (NMS). After 2 days, the colt remained recumbent and was euthanized. The next 2 foals that the mare produced were normal (N1 and N2). All 3 previous gestations had been of normal length.The foal presented in lateral recumbency exhibiting marked neurologic signs including spontaneous paddling, head banging, and opisthotonus. The coat was a dilute lavender color (Fig 2), body weight was 46 kg, and the foal was in good condition. Rectal temperature was normal, with increased heart (150 beats per minute) and respiratory (60 breaths per minute) rates. The mucous membranes were congested. Capillary refill time (CRT) and hydration were normal. A weak suck reflex was present. The umbilicus appeared macroscopically normal. On neurologic examination, the foal was hyperesthetic to tactile stimulation. The foal could lie only in right lateral recumbency because of torticollis to the left. Direct and consensual pupillary light reflex (PLR) and blink-to-bright-light reflex were present. Temporary, spontaneous ventral strabismus and horizontal nystagmus were evident with the foal in lateral recumbency. The foal vocalized in response to auditory stimulus. Local cervical, cervicofacial, cutaneous truncal, and flexor reflexes of the forelimbs and hindlimbs were present, but assessment was followed by an exaggerated response characterized by paddling, extensor rigidity, and opisthotonus. Triceps, patellar, and perineal reflexes were normal.