In an investigation of 2 closely related Miniature Horses with a histo
ry of excessive sleepiness, depression and episodes of collapse, a dia
gnosis of narcolepsy was made on the basis of neurological examination
and pharmacological testing. Further investigations included electroe
ncephalographic examination (EEG), and analysis of protein content, ce
ll count and monoamine metabolite concentrations of lumbosacral cerebr
ospinal fluid (CSF). There were no abnormalities noted in the EEGs, an
d no consistent changes in CSF neurotransmitter metabolites in the nar
coleptic horses when compared with 3 normal, unrelated Miniature Horse
s and 2 related, clinically unaffected animals. The breeding backgroun
d of the 2 affected horses was investigated and a limited survey of Mi
niature Horse breeders in North America was conducted. These investiga
tions have shown that narcolepsy is a rare but distinct syndrome in th
e Miniature Horse, and that the cases described here appear to represe
nt a familial occurrence of the disease.