Summary
In this study we describe a ten-year old pre-bred English mare. Anorexia, weight loss and intermittent abdominal pain were described in the anamnesis. Several approaches to treat the patient remained without success. A physical examination performed later, yielded neurological symptoms like ataxy. A hepatic encephalopathy was diagnosed based on the results of clinical and biochemical examinations. Material und Methods: The patient was characterized clinically and with using biochemical assays. Later, an autopsia was performed. An analysis of serum yielded increased concentrations of the enzymes AST and GGT, as well as an increased concentration of ammonia. An autopsy after the patients' death confirmed cirrhosis of the liver. Furthermore, cerebral edemas were found. The hepatic encephalopathy of the patient described in this study with high probability is resulting from the cirrhosis of the liver and the hyperammonemia. This report including its clinical and biochemical data is supposed to help to diagnose a hepatopathy prior to the onset of a hepatic encephalopathy. After the onset of hepatic encephalopathy the prognosis is known to be substantially worse.
Key words
equine - cirrhosis of the liver - hyperammonemia
Literatur
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