Dl. Doxey et al., SMALL-INTESTINE AND SMALL COLON NEUROPATHY IN EQUINE DYSAUTONOMIA (GRASS SICKNESS), Veterinary research communications, 19(6), 1995, pp. 529-543
The number of neurons in the coeliacomesenteric ganglia and the myente
ric and submucosal plexuses of the jejunum, ileum and small colon, and
the pathological changes induced in them, were studied in various typ
es of equine dysautonomia. In all forms of dysautonomia, severe and ex
tensive neuron loss and damage occurred in the ileum. In acute and sub
acute dysautonomia, jejunal neuron loss and damage were severe, but in
chronic cases significantly less loss or damage occurred. The damage
followed the same pattern in the small colon but it was always less ob
vious than in the jejunum. The distribution of the damage was uniform
within a segment of the intestine. In fatal cases of dysautonomia, the
clinical severity and duration of illness seems, in most instances to
be related to the amount of neuronal disruption occurring in the jeju
num. Severe disruption results in acute/subacate dysautonomia, while m
ilder damage leads to the chronic form. No case of dysautonomia was en
countered in which enteric neuron loss and damage occurred without sig
nificant neuronal disruption also occurring in the coeliacomesenteric
ganglia. Ileal neuronal damage and loss are not invariably worse than
that in the jejunum and the possible reasons for this, together with t
he relationship between neuronal damage and possible causes of dysauto
nomia, are discussed.