SAEVA Proceedings 2018 4. Proceedings | Page 36

SAEVA Congress 2018 Proceedings | 12-15 February 2018 | ATKV Goudini Spa Recurrent laryngeal neuropathy Increased echogenicity of the cricoarytenoideus lateralis muscle has a very high specificity and sensitivity for the diagnosis of recurrent laryngeal neuropathy and is superior to resting endoscopy in detecting horses that have abnormal arytenoid movement during exercising treadmill endoscopic examination. Left recurrent laryngeal neuropathy The effect of denervation on the size (cross-sectional area and diameter) of the cricoarytenoideus lateralis muscle remains to be determined in horses with left recurrent laryngeal neuropathy. Laryngeal ultrasonography is particularly valuable in guiding decision making in horses with grade II and III left arytenoid movement. Arytenoid chondritis Increased size, abnormal echogenicity (heterogeneous and increased) and abnormal shape (loss of the normal trumpet shape) of the arytenoid cartilage has been described in horses with arytenoid chondritis upon laryngeal ultrasonographic evaluation. The cross-sectional area of chondritic cartilages are approximately double that of the contralateral normal arytenoid cartilage. Small hyperechoic echoes consistent with gas are often seen within affected chondritic arytenoid cartilages. Cavitated lesions within affected arytenoid cartilages and masses on the medial side of the chondritic arytenoid cartilage can be identified. Left arytenoid chondritis 31