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Spinal Ataxia in Zebras

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Veter<strong>in</strong>ary Pathology Onl<strong>in</strong>e<br />

http://vet.sagepub.com/<br />

<strong>Sp<strong>in</strong>al</strong> <strong>Ataxia</strong> <strong>in</strong> <strong>Zebras</strong>. Comparison with the Wobbler Syndrome of Horses<br />

R. J. Montali, M. Bush, R. M. Sauer, C. W. Gray and W. A. Xanten, jr.<br />

Vet Pathol 1974 11: 68<br />

DOI: 10.1177/030098587401100108<br />

The onl<strong>in</strong>e version of this article can be found at:<br />

http://vet.sagepub.com/content/11/1/68<br />

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Vet. Path. Jl: 68-78 (1974)<br />

<strong>Sp<strong>in</strong>al</strong> <strong>Ataxia</strong> <strong>in</strong> <strong>Zebras</strong><br />

Comparison with the Wobbler Syndrome of Horses<br />

R. J. MONTALI, M. BUSH, R. M. SAUER, C. W. GRAY and W.A. XANTEN, jr.<br />

The Division of Laboratory Animal Medic<strong>in</strong>e and The Department of Pathology,<br />

The Johns Hopk<strong>in</strong>s University, School of Medic<strong>in</strong>e, Baltimore, Md.;<br />

and National Zoological Park, Smithsonian Institution, Wash<strong>in</strong>gton, D. C.<br />

Abstract. Eight of 17 zebra foals (Equus burchelli) born at the National Zoological<br />

Park, Wash<strong>in</strong>gton, D. c., developed an ataxic condition that cl<strong>in</strong>ically resembled the<br />

wobbler syndrome of horses. Four were males and four were females. All were the progeny<br />

of one stallion and two mares. The parent animals were not ataxic. In three of the affected<br />

foals raised at the zoo, signs progressed to severe ataxia, and the animals were killed.<br />

In contrast to the f<strong>in</strong>d<strong>in</strong>gs <strong>in</strong> wobbler horses there was no radiographic or pathologic<br />

evidence of narrow<strong>in</strong>g of the vertebral canals, nor were malacic foci found <strong>in</strong> the cords to<br />

suggest that focal compression had occurred. There was degeneration of ascend<strong>in</strong>g and<br />

descend<strong>in</strong>g tracts <strong>in</strong> the same segments throughout the sp<strong>in</strong>al cords. There were no lesions<br />

<strong>in</strong> two bra<strong>in</strong>s studied nor were other possible causes for the sp<strong>in</strong>al cord degeneration<br />

evident. These f<strong>in</strong>d<strong>in</strong>gs and the high <strong>in</strong>cidence of ataxia <strong>in</strong> this herd suggest a familial<br />

degenerative myelopathy.<br />

Approximately half of the zebra foals born over a l2-year period at the<br />

National Zoological Park developed a disorder of the central nervous system<br />

that cl<strong>in</strong>ically resembled the wobbler syndrome (wobbles, equ<strong>in</strong>e <strong>in</strong>coord<strong>in</strong>ation,<br />

ataxia of foals [5, 7, 8, 14]). This is an ataxic condition of predom<strong>in</strong>antly<br />

young male horses that is characterized by a sway<strong>in</strong>g or wobbl<strong>in</strong>g<br />

of the h<strong>in</strong>dquarters. It can be progressive and may lead to muscular weakness<br />

and severe locomotor disfunction of both pelvic and thoracic limbs. A similar<br />

cl<strong>in</strong>ical picture is described <strong>in</strong> eight zebras. The pathologic changes <strong>in</strong> the<br />

sp<strong>in</strong>al columns of three animals, however, <strong>in</strong>dicate that the pathogenesis<br />

may not be the same as for the wobbler syndrome. These differences are<br />

discussed, and the zebra disorder is compared with ataxic conditions of other<br />

species and man. This is believed to be the first report of a possible primary<br />

degenerative myelopathy <strong>in</strong> an equ<strong>in</strong>e species.<br />

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MONTALI et at.<br />

69<br />

Janet<br />

Tam<br />

Zebbie<br />

o Normal Female<br />

D Normal Mole<br />

• Atoxic Female<br />

• Ataxic Male<br />

/: Sex ond Condition Unknown<br />

Fig. I. Pedigree of ataxic zebras.<br />

Cl<strong>in</strong>ical Study<br />

The orig<strong>in</strong>al herd of Grant's zebras exhibited at the National Zoological Park was<br />

derived from one stallion (Tom) and two mares (Janet and Zebbie) (fig. 1). These animals<br />

were unrelated and showed no abnormalities of gait or signs of <strong>in</strong>coord<strong>in</strong>ation. From<br />

1960 to 1971, there were 17 offspr<strong>in</strong>g (IO from Janet and 7 from Zebbie) of which eight<br />

were ataxic <strong>in</strong> the h<strong>in</strong>d quarters. As noted <strong>in</strong> the pedigree chart (fig. I) a precise account<br />

of sex ratios and frequency cannot be made s<strong>in</strong>ce complete records of all foals were not<br />

available. Four of the affected animals were males and four females.<br />

Signs of ataxia began between 4 and 6 months of age. They were first detected as<br />

subtle <strong>in</strong>coord<strong>in</strong>ated movements of the h<strong>in</strong>dquarters that were most noticeable when the<br />

animals were trott<strong>in</strong>g slowly or turn<strong>in</strong>g. The ataxia could be accentuated by forc<strong>in</strong>g the<br />

animals to move <strong>in</strong> a small circle. Detailed neurological exam<strong>in</strong>ations were not possible<br />

because of the difficulties of manipulat<strong>in</strong>g these animals, but vision, temperament, and<br />

other motor functions appeared to be normal. Appetite and hematological studies were<br />

with<strong>in</strong> normal limits. The animals were fed standard pelleted horse feed and hay and had<br />

access to salt bricks conta<strong>in</strong><strong>in</strong>g trace m<strong>in</strong>erals. There were few endoparasites <strong>in</strong> the herd<br />

because of rout<strong>in</strong>e exam<strong>in</strong>ation and treatment.<br />

Four of the mildly ataxic zebras were sent elsewhere before they were yearl<strong>in</strong>gs, and<br />

further records were unavailable; one other animal died of causes unrelated to the ataxia.<br />

Three affected animals, A I, A2, and A3 (table I) rema<strong>in</strong>ed at the zoo, and their condition<br />

worsened. Between I and 2 years of age they developed severe ataxia and weakness of the<br />

rear quarters, with milder weakness of the thoracic limbs. Hypermetria was not seen,<br />

nor was the ability to step backwards appreciably altered. They often fell and made strenuous<br />

efforts to right themselves. Because of the trauma from these episodes, the animals<br />

were killed and necropsied. The orig<strong>in</strong>al herd sire, Tom (N I) was also killed and necropsied<br />

because of his advanced age and an arthritic condition of his front limbs.<br />

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70 MONTAL! et al.<br />

Table I. Identification, cl<strong>in</strong>ical condition and tissues available at necropsy<br />

Zebra Sex <strong>Ataxia</strong> Age at necropsy Tissues studied<br />

Al male advanced 3 years, I month sp<strong>in</strong>al cord only<br />

A2 female advanced I year, 4 months cervical vertebrae, bra<strong>in</strong>,<br />

cervical and thoracic cord<br />

A3 female advanced I year, 9 months cervical vertebrae, entire<br />

central nervous system<br />

Nl male none 20 years cervical vertebrae, entire<br />

central nervous system<br />

Materials and Methods<br />

At various <strong>in</strong>tervals zebras A2, A3, and N I were each given 3 mg of M 99 (etorph<strong>in</strong>e,<br />

Cyanarnid'E') plus 30 mg of acepromaz<strong>in</strong>e (Provet®) while restra<strong>in</strong>ed <strong>in</strong> a chute (Ranger).<br />

After the animals were immobilized, an endotracheal tube was <strong>in</strong>serted and fluothane<br />

(halothane, Ayerst Laboratories, New York, N. Y.) was adm<strong>in</strong>istered to produce surgical<br />

anesthesia. Radiographs of the cervical vertebrae were taken both while the zebras were<br />

<strong>in</strong> normal posture and dur<strong>in</strong>g extreme flexion of the head and neck. Lateral and ventrodorsal<br />

views were obta<strong>in</strong>ed. The animals, <strong>in</strong>clud<strong>in</strong>g A I, were killed and immediately<br />

necropsied.<br />

The tissues available (table I) from the three affected zebras (AI, A2, and A3) and<br />

from the one unaffected animal (N I, control) were processed for study <strong>in</strong> the follow<strong>in</strong>g<br />

manner. The cervical vertebrae were disarticulated, trimmed of excess muscle tissue,<br />

dried, and exposed to a colony of Dermestidae beetles. The bra<strong>in</strong>s and sp<strong>in</strong>al cords were<br />

removed <strong>in</strong>tact, exam<strong>in</strong>ed for gross abnormalities, and fixed <strong>in</strong> 10% formal<strong>in</strong>. After<br />

fixation, the sp<strong>in</strong>al cords were sliced transversely at 2- to 5-mm <strong>in</strong>tervals, and the serial<br />

sections were exam<strong>in</strong>ed with a stereomicroscope. Samples from each segment, together<br />

with bra<strong>in</strong> tissue, were embedded <strong>in</strong> paraff<strong>in</strong>, cut at 6 urn, and sta<strong>in</strong>ed with hematoxyl<strong>in</strong><br />

and eos<strong>in</strong> (HE).<br />

Special sta<strong>in</strong><strong>in</strong>g techniques performed on selected samples from all cases <strong>in</strong>cluded,<br />

luxol blue-cresyl violet, Weigert (myel<strong>in</strong>), Holzer, Bodian, periodic acid-Schiff-Alcian<br />

blue, Mallory's trichrome, and oil-red-O (frozen tissues).<br />

Results<br />

Radiographic F<strong>in</strong>d<strong>in</strong>gs<br />

The cervical vertebrae appeared normal. Vertebral subluxation or narrow<strong>in</strong>g<br />

of the cervical vertebral canals was not evident.<br />

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Ataxi a <strong>in</strong> <strong>Zebras</strong> 71<br />

a<br />

b<br />

Fig. 2. a Tr ansverse section of cervical sp<strong>in</strong>al cord (C 4) fro m a taxic zebra , A3 . Pale<br />

areas are loss of myel<strong>in</strong> <strong>in</strong> lateral and ventral funiculi . Compare with figure I b. Weigert's<br />

myel<strong>in</strong> sta <strong>in</strong>. b Transverse section of cervical sp<strong>in</strong>al cord (C4) from nonataxic zebra, N I.<br />

The myel<strong>in</strong> sta<strong>in</strong> s fairl y con sistently throughout the cord . Section prepared and sta<strong>in</strong>ed<br />

at the same time as section <strong>in</strong> figure I a. Weigert's myel<strong>in</strong> sta <strong>in</strong>.<br />

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72<br />

M ONT ALI et al.<br />

3<br />

4<br />

Fig. 3. H igher magnificat ion from an area of myel<strong>in</strong> pallor <strong>in</strong> the latera l funiculus<br />

sho wn <strong>in</strong> figure I a. Myel<strong>in</strong> shea ths are irregular sizes. Man y a re distended and empt y. HE.<br />

Fig . 4. Similar a rea as <strong>in</strong> figure 2. Longitud<strong>in</strong>a l section. Axon s are depleted. A few<br />

axona l fragments rema<strong>in</strong> . Bodi an sta <strong>in</strong>.<br />

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<strong>Ataxia</strong> <strong>in</strong> Zeb ras<br />

73<br />

5<br />

_ ............r.e-. • •0lJ 6<br />

Fig . 5. Lon gitud<strong>in</strong>al sect ion of sp<strong>in</strong>a l co rd from zebra A 3. Lipid-lade n rnacr ophages<br />

acc um ulate <strong>in</strong> a dilated mye l<strong>in</strong> sheat h. H E.<br />

Fig . 6. Lon gitu d<strong>in</strong>al sect ion of th oracic sp<strong>in</strong>a l co rd (midd le) fro m a taxic zebra A2.<br />

Ast rocy tic nuclei (ar rows) an d glial fibers near degenera ted trac ts. H E.<br />

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74 MONTALI et al.<br />

Fig. 7. Cross-section of cervica l sp<strong>in</strong>al co rd (C6) frcm ataxic zebra A2 . Advent itia<br />

fibrosis of small blood vessels. Ma llory's trichro me.<br />

Pathological F<strong>in</strong>d<strong>in</strong>gs<br />

Th ere were no gross lesion s <strong>in</strong> any of the sp<strong>in</strong>a l cord s from the three<br />

atax ic zebras (A I, A 2, A 3). In Weiger t-sta<strong>in</strong> ed sectio ns, eac h co rd showed<br />

bilaterally symmet rical demyel<strong>in</strong>ati on <strong>in</strong> the lat eral and ventral funi culi<br />

(fig.2a) . Both asce nd<strong>in</strong>g and descend<strong>in</strong> g tr acts ap pea red to be affected <strong>in</strong> th e<br />

lateral funiculi, a nd tracts (descend<strong>in</strong>g) adjacent to th e ventral median<br />

fissure were <strong>in</strong>volved <strong>in</strong> ventra l funi culi . Myel<strong>in</strong> sheaths varied <strong>in</strong> width,<br />

and some were dilated a nd empty (fig. 3). Bodi an- sta<strong>in</strong> ed sectio ns showed<br />

a deficit ofaxons and man y were disrupted or fragmented (fig. 4). Occasiona<br />

lly, there were lipid-lad en macrophages with<strong>in</strong> the dilated sheaths<br />

(fig. 5), a nd numerou s astrocytic nuclei and glial" fibers occurred <strong>in</strong> the<br />

degenerated a reas (fig. 6).<br />

Th ere was advent itia l fibrosis of sma ll blood vessels throu ghout the<br />

ventra l a nd lateral funiculi of white matter (fig. 7). This was most prom<strong>in</strong>ent<br />

<strong>in</strong> zeb ra A 2, but occ ur red <strong>in</strong> A I and A 3 to a lesser degree.<br />

The pattern a nd <strong>in</strong>ten sity of th e degeneratio n of neu ron al fiber s were<br />

similar <strong>in</strong> each of the ataxic zebras . In th e zebras <strong>in</strong> wh ich the entire sp<strong>in</strong>a l<br />

co rds were exa m<strong>in</strong>ed (A I and A 3) lesion s were prese nt thr ou ghout the<br />

cerv ical, th oracic, lumba r, and sac ra l regions . Dorsal funi cul i and gray<br />

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Fig . 8. Fourth cervical vertebra (C4) from ataxic zebra A 2, Left crani al articular<br />

process (u pper right) has pro liferation of bone around articular marg<strong>in</strong>s a nd is larger<br />

than the right process (lower right).<br />

co lumns, however, a ppeared normal <strong>in</strong> all of th e co rds . In zebras whose<br />

bra<strong>in</strong>s were studie d (A 2, A 3), the degenerated tr acts could be followed <strong>in</strong>t o<br />

the medulla oblonga ta ; lesion s rostral to thi s area were not evide nt.<br />

There were abno rma lities <strong>in</strong> th e cervica l vert ebrae of one (A 2) of two<br />

affected zebras. In zebra A 2 the articular surfaces of th e left ca uda l ar ticular<br />

process of the thi rd vertebra and the left cra nia l articular pr ocess of th e<br />

fourth were lar ger th an th ose on t he right (fig. 8). Th ere was also thi cken<strong>in</strong>g<br />

of the ar ticular process of the fourth vertebra with prolifera tio n of bon e<br />

aro und the lat eral and cra nial marg<strong>in</strong> s of th e jo<strong>in</strong>t surface. Narrow<strong>in</strong>g of<br />

the verte bral ca na ls did not occ ur <strong>in</strong> either zebra.<br />

No significa nt gros s or microscopic changes were seen <strong>in</strong> comparable<br />

sectio ns of th e sp<strong>in</strong>al cord (fig. 2 b) or cervical vertebrae of the un affected<br />

zeb ra (N I).<br />

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76 MONTALI et al.<br />

Discussion<br />

Because the cl<strong>in</strong>ical features of this ataxia <strong>in</strong> zebras so closely resembled<br />

the wobbler syndrome of horses, and s<strong>in</strong>ce zebras are 'equidae', the changes<br />

<strong>in</strong> both conditions were compared. The lesions <strong>in</strong> the wobbler syndrome<br />

are malformations of the articular processes and WaIIerian degeneration <strong>in</strong><br />

the cervical sp<strong>in</strong>al cord [3, 7, 8, I I]. A malacic focus (primary lesion) occurs<br />

<strong>in</strong> the cervical cord apparently as a result of subluxation of the abnormal<br />

vertebrae. Secondary degeneration of ascend<strong>in</strong>g tracts cranial to the primary<br />

lesion results and may be foIIowed for several segments. Likewise, descend<strong>in</strong>g<br />

tracts degenerate caudal to the primary lesion, and these may extend to the<br />

lumbar segment. When the primary lesion is not readily apparent, it may<br />

be located by 'mapp<strong>in</strong>g' the cranial limit of the descend<strong>in</strong>g damage and the<br />

caudal limit of the ascend<strong>in</strong>g damage.<br />

In the zebras, the sp<strong>in</strong>al cord lesions did not have a Wallerian pattern.<br />

Vertebral arthropathy (fig. 7), rem<strong>in</strong>iscent of the articular lesions of wobbler<br />

horses [14], was found <strong>in</strong> one zebra (A2), but detailed microscopic studies<br />

of its cervical cord and of cords of the others, did not show malacic foci.<br />

The degenerate ascend<strong>in</strong>g and descend<strong>in</strong>g tracts were not anatomically<br />

segregated but could be consistently followed together throughout the<br />

lengths of sp<strong>in</strong>al cords available for study (table I). Correlations between<br />

the gait abnormalities and the lesions of specific tracts have been described<br />

<strong>in</strong> the wobbler syndrome [12]. The fact that functionally similar tracts were<br />

<strong>in</strong>volved <strong>in</strong> the zebra sp<strong>in</strong>al cords may expla<strong>in</strong> the similar cl<strong>in</strong>ical signs of<br />

both conditions.<br />

Further po<strong>in</strong>ts of comparison <strong>in</strong>clude possible factors such as sex, breed,<br />

and heredity. The wobbler syndrome has its highest prevalence <strong>in</strong> the longernecked<br />

breeds such as thoroughbreds and standardbreds, and there is a<br />

male predom<strong>in</strong>ance. Accord<strong>in</strong>gly, ROONEY [13] relates the vertebral arthropathies<br />

to abnormal stresses <strong>in</strong> the cervical columns of these long-necked<br />

animals and ascribes the predom<strong>in</strong>ance <strong>in</strong> males to their added muscle bulk<br />

and consequent additional strength of the head and neck region. Heredity<br />

has been suggested as a factor <strong>in</strong> the wobbler syndrome but never proved [6].<br />

Although we cannot draw conclusions on sex ratios, there was no apparent<br />

trend for a male predom<strong>in</strong>ance <strong>in</strong> the zebra. <strong>Zebras</strong> are relatively shortnecked<br />

'equ<strong>in</strong>es', and our pathologic f<strong>in</strong>d<strong>in</strong>gs differ significantly from those<br />

of the wobbler syndrome, <strong>in</strong>dicat<strong>in</strong>g that the pathogenesis of both conditions<br />

is not the same. Therefore, this ataxic condition of zebras should not be<br />

designated as the wobbler syndrome.<br />

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<strong>Ataxia</strong> <strong>in</strong> <strong>Zebras</strong> 77<br />

The specific cause of this diffuse myelopathy <strong>in</strong> zebras was not evident.<br />

There was no basis for an ischemic pattern [2], hence the adventitial fibrosis<br />

of vessels noted <strong>in</strong> all of the zebras was not considered to contribute to the<br />

sp<strong>in</strong>al cord degeneration. Similar vascular changes caused by factors such as<br />

vertebral fractures and space-occupy<strong>in</strong>g lesions have been seen <strong>in</strong> wobblers<br />

and <strong>in</strong> other equ<strong>in</strong>e myelopathies [7]. Several causes were considered.<br />

Nutritional factors might be implicated. Copper deficiency has been reported<br />

to cause a demyel<strong>in</strong>at<strong>in</strong>g disease <strong>in</strong> lambs. This condition is called enzootic<br />

ataxia and has been compared with the wobbler syndrome of horses [10].<br />

A deficiency of copper would not be expected <strong>in</strong> these zebras s<strong>in</strong>ce all<br />

received ample supplements <strong>in</strong> their pelleted rations and had free access to<br />

copper <strong>in</strong> m<strong>in</strong>eralized salt blocks. Proof of such a deficiency would depend<br />

on assays to determ<strong>in</strong>e serum and tissue copper levels.<br />

Parasitic migration <strong>in</strong> the central nervous system was also considered.<br />

Parasites migrat<strong>in</strong>g aberrantly <strong>in</strong> the sp<strong>in</strong>al cords have been reported to<br />

create wobbler-like signs <strong>in</strong> horses [9]. This was not so <strong>in</strong> the zebra condition<br />

as there were no parasites or parasitic remnants nor were there <strong>in</strong>flammatory<br />

changes that suggested <strong>in</strong>fectious agents <strong>in</strong> the central nervous system.<br />

The high <strong>in</strong>cidence of ataxic sibl<strong>in</strong>g foals <strong>in</strong> this small zebra herd and our<br />

f<strong>in</strong>d<strong>in</strong>g of a diffuse myelopathy with no apparent cause suggest that this<br />

condition is a familial disorder with primary degeneration of sp<strong>in</strong>al cord<br />

white matter. Familial degenerations of the sp<strong>in</strong>al cord do occur. Friedreich's<br />

ataxia of children is described as a familial form of progressive ataxia.<br />

It is characterized by a degeneration of long, ascend<strong>in</strong>g and descend<strong>in</strong>g<br />

tracts of the sp<strong>in</strong>al cord [2]. A degenerative myelopathy, possibly familial,<br />

has recently been described <strong>in</strong> aged German Shepherd dogs [I]. In several<br />

horses that cl<strong>in</strong>ically were wobblers DE LAHUNTA [4] has seen diffuse myelopathy<br />

similar to that <strong>in</strong> our zebras. He did not consider his animals true<br />

wobblers.<br />

Proof of a familial ataxia <strong>in</strong> zebras must await future breed<strong>in</strong>gs between<br />

related animals that are possibly carry<strong>in</strong>g genetic traits; complete cl<strong>in</strong>ical<br />

and pathological studies must be performed on any that are affected.<br />

Subsequent progeny from dams of our ataxic animals and from their normal<br />

daughters bred to an unrelated herd sire, Fred (moo-180), are cl<strong>in</strong>ically<br />

normal to date.<br />

Acknowledgements<br />

Supported <strong>in</strong> part by grants RR-00130 and RR-05010, U. S. Public Health Service;<br />

and The Mary Ida Young Foundation. The authors thank Dr. ALEXANDER DE LAHUNTA,<br />

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78 MONTALI et al.<br />

Department of Anatomy, Cornell University, Ithaca, N. Y.; and Dr. LAWRENCE E. BECKER,<br />

Department of Neurology, Johns Hopk<strong>in</strong>s Hospital, Baltimore, Md., for comments and<br />

suggestions.<br />

References<br />

AVERILL, D. R.: Degenerative myelopathy <strong>in</strong> the ag<strong>in</strong>g German Shepherd dog.<br />

Cl<strong>in</strong>ical and pathologic f<strong>in</strong>d<strong>in</strong>gs. J. amer. vet. med. Ass. 162: 1045-1051 (1973).<br />

2 BLACKWOOD, W.; McMENEMEY, W.H.; MEYER, A.; NORMAN, R.M., and RUSSELL,<br />

D. S.: Greenfield's neuropathology; 2nd ed., pp. 95, 587 (Williams & Wilk<strong>in</strong>s, Baltimore<br />

1966).<br />

3 DAHME, E. and SCHEBITZ, H.: New observations on the pathogenesis of sp<strong>in</strong>al ataxia<br />

<strong>in</strong> the horse. Zbl. Vet Med. 17: 120-143 (1970).<br />

4 DE LAHUNTA, A.: Personal commun. (1974).<br />

5 DIMOCK, W. W. and ERRINGTON, E. J.: Incoord<strong>in</strong>ation of equidae; "wobbles."<br />

J. arner, vet. med. Ass. 95: 261-267 (1939).<br />

6 DIMOCK, W.W.: "Wobbles", an hereditary disease <strong>in</strong> horses. J. Hered. 41: 319-323<br />

(1950).<br />

7 FRASER, H. and PALMER, A. C.: Equ<strong>in</strong>e <strong>in</strong>co-ord<strong>in</strong>ation and wobbler disease of young<br />

horses. Vet. Rec. 80: 338-355 (1967).<br />

8 JONES, R. c.; DOLL, E. R., and BROWN, R. G. : The pathology of equ<strong>in</strong>e <strong>in</strong>coord<strong>in</strong>ation<br />

(ataxia or "wobbles" of foals). Proc. amer. vet. med. Ass. 45: 139-149 (J954).<br />

9 INNES, J. R. M. and SAUNDERS, L. Z.: Comparative neuropathology; 1st ed., pp. 540-549<br />

(Academic Press, New York 1962).<br />

10 OLAFSON, P.: "Wobbles" compared with ataxic (sw<strong>in</strong>g back) lambs. Cornell Vet. 32:<br />

301-314 (1942).<br />

I I ROONEY, J. R.: Biomechanics of lameness <strong>in</strong> horses; 1st ed., pp. 221-229 (Williams &<br />

Wilk<strong>in</strong>s, Baltimore 1969).<br />

12 ROONEY, J. R.: Cl<strong>in</strong>ical neurology of the horse; 1st ed., pp. 11-15, 36-41 (KNA Press,<br />

Kennett Square 1971).<br />

13 ROONEY, J.R.: Etiology of the wobbler syndrome. Mod. vet. Pract. 53: 42 (1965).<br />

14 ROONEY, J. R.: Equ<strong>in</strong>e <strong>in</strong>coord<strong>in</strong>ation. I. Gross morphology. Cornell Vet. 53: 411-422<br />

(] 963).<br />

Request repr<strong>in</strong>ts from: Dr. R. J. MONTALI, Department of Pathology, Johns Hopk<strong>in</strong>s<br />

Hospital, Baltimore, MD 21205 (USA)<br />

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