Table 3.
Univariable analysis results for significant associations (P < .05) between clinical variables and diagnosis in 64 equids with facial nerve paralysis
Diagnosis (n) | Clinical variable | OR | 95% CI | P value |
---|---|---|---|---|
EPM (10) | Presence of additional neurological signs | |||
Yes | 6.81 | 1.12‐41.26 | .04 | |
No | Ref. | ‐ | ‐ | |
Presence of ataxia | ||||
Yes | 10.45 | 2.25‐48.66 | .003 | |
No | Ref. | ‐ | ‐ | |
Presence of a head tilt | ||||
Yes | 6.33 | 1.55‐25.96 | .01 | |
No | Ref. | ‐ | ‐ | |
MMS of ataxia | ||||
0 | Ref. | ‐ | ‐ | |
4 | 35 | 1.34‐911.28 | .03 | |
Negative for EPM intrathecal antibody production using a serum: CSF ratio | ||||
Yes | .02 | 0.0‐0.23 | .002 | |
No | Ref. | ‐ | ‐ | |
Treatment with targeted neurological drugs | ||||
Yes | 89 | 4.82‐1642.99 | .003 | |
No | Ref. | ‐ | ‐ | |
Full resolution of FNP | ||||
Yes | 5.3 | 1.17‐24.0 | .03 | |
No | Ref. | ‐ | ‐ | |
Neuroborreliosis (5) | Presence of ataxia | |||
Yes | 29 | 1.52‐554.07 | .03 | |
No | Ref. | ‐ | ‐ | |
Negative neuroborreliosis diagnosis on CSF and serum | ||||
Yes | 0.02 | 0.0‐0.47 | .02 | |
No | Ref. | ‐ | ‐ | |
Euthanized | ||||
Yes | 14.14 | 1.98‐100.83 | .01 | |
No | Ref. | ‐ | ‐ | |
Idiopathic FNP (12) | Presenting with a corneal ulcer | |||
Yes | 7.44 | 1.27‐43.47 | .03 | |
No | Ref. | ‐ | ‐ | |
Presenting complaint | ||||
FNP | Ref. | ‐ | ‐ | |
Trauma | 0.04 | 0.0‐0.84 | .04 | |
Negative for EPM intrathecal antibody production using a serum: CSF ratio | ||||
Yes | 21 | 1.01‐438.23 | .05 | |
No | Ref. | ‐ | ‐ | |
FNP partially improved | ||||
Yes | 5.21 | 1.01‐26.76 | .05 | |
No | Ref. | ‐ | ‐ | |
CNS disease (16) | Presenting complaint | |||
FNP | Ref. | ‐ | ‐ | |
Other neurological problem | 13.36 | 2.49‐71.66 | .002 | |
History of trauma | ||||
Yes | 0.05 | 0.0‐0.97 | .05 | |
No | Ref. | ‐ | ‐ | |
Presence of ear droop | ||||
Yes | 0.2 | 0.06‐0.68 | .01 | |
No | Ref. | ‐ | ‐ | |
Presence of additional neurological signs | ||||
Yes | 14.37 | 2.45‐84.29 | .003 | |
No | Ref. | ‐ | ‐ | |
Presence of ataxia | ||||
Yes | 32.09 | 6.8‐151.39 | <.005 | |
No | Ref. | ‐ | ‐ | |
MMS of ataxia | ||||
0 | Ref. | ‐ | ‐ | |
2 | 7.86 | 1.17‐52.95 | .03 | |
3 | 15 | 1.51‐148.59 | .02 | |
4 | 35 | 1.34‐911.28 | .03 | |
Negative for EPM intrathecal antibody production using a serum: CSF ratio | ||||
Yes | 0.12 | 0.02‐0.89 | .04 | |
No | Ref. | ‐ | ‐ | |
Final diagnosis of trauma | ||||
Yes | 0.04 | 0.0‐0.74 | .03 | |
No | Ref. | ‐ | ‐ | |
Treatment with targeted neurological drugs | ||||
Yes | 21.34 | 5.21‐87.38 | <.005 | |
No | Ref. | ‐ | ||
Euthanized | ||||
Yes | 4.37 | 1.27‐15 | .02 | |
No | Ref. | ‐ | ‐ | |
Trauma (20) | Presenting complaint | |||
FNP | Ref. | ‐ | ‐ | |
Trauma | 119.22 | 11.20‐1269.35 | <.005 | |
Generalized weakness/malaise | 10.09 | 1.26‐80.66 | .03 | |
Leucocytosis | ||||
Yes | 6.41 | 1.3‐31.45 | .02 | |
No | Ref. | ‐ | ‐ | |
Neutrophilia | ||||
Yes | 6.03 | 1.4‐25.9 | .02 | |
No | Ref. | ‐ | ‐ | |
High creatinine kinase | ||||
Yes | 11.07 | 1.38‐88.92 | .02 | |
No | Ref. | ‐ | ‐ | |
History of trauma | ||||
Yes | 47.91 | 9.63‐238.28 | <.005 | |
No | Ref. | ‐ | ‐ | |
Presence of muzzle deviation | ||||
Yes | 0.3 | 0.1‐0.91 | .03 | |
No | Ref. | ‐ | ‐ | |
Presence of additional neurological signs | ||||
Yes | 0.32 | 0.11‐0.95 | .04 | |
No | Ref. | ‐ | ‐ | |
Presence of ataxia | ||||
Yes | 0.92 | 0.02‐0.54 | .008 | |
No | Ref. | ‐ | ‐ | |
Final diagnosis of CNS disease | ||||
Yes | 0.04 | 0.0‐0.74 | .03 | |
No | Ref. | ‐ | ‐ | |
THO (10) | Breed | |||
TB | Ref. | ‐ | ‐ | |
Quarter Horse | 8.14 | 1.47‐45.23 | .02 | |
Pony | 40.71 | 1.61‐1032.27 | .03 | |
Presence of ear droop | ||||
Yes | 6.81 | 1.12‐41.26 | .04 | |
No | Ref. | ‐ | ‐ | |
Unable to blink on affected side | ||||
Yes | 7.08 | 1.17‐42.95 | .03 | |
No | Ref. | ‐ | ‐ | |
3 or more signs of FNP present | ||||
Yes | 7.33 | 1.21‐44.4 | .03 | |
No | Ref. | ‐ | ‐ | |
Presence of ocular pathology | ||||
Yes | 17.69 | 2.86‐109.56 | .002 | |
No | Ref. | ‐ | ‐ | |
No abnormalities detected on diagnostic imaging of the skull | ||||
Yes | 0.04 | 0.0‐0.82 | .04 | |
No | Ref. | ‐ | ‐ | |
Normal UAE | ||||
Yes | 0.01 | 0.0‐0.24 | .004 | |
No | Ref. | ‐ | ‐ | |
Treatment with antibiotics | ||||
Yes | 4.56 | 1.01‐20.59 | .05 | |
No | Ref. | ‐ | ‐ | |
Performance of surgery | ||||
Yes | 4.38 | 1.05‐18.28 | .04 | |
No | Ref. | ‐ | ‐ | |
Performance of unilateral or bilateral temporary or permanent partial tarsorrhaphy | ||||
Yes | 7.9 | 1.94‐32.26 | .004 | |
No | Ref. | ‐ | ‐ | |
Treatment with ophthalmological drugs | ||||
Yes | 4.23 | 1.06‐16.92 | .04 | |
No | Ref. | ‐ | ‐ |
Note: The data should be interpreted thus, for example, a horse with FNP and additional neurological signs was 6.81 times more likely to have diagnosis of EPM than those without additional neurological signs (OR, 6.81; 95% CI, 1.12‐41.26; P = .04).
Abbreviations: CI, confidence interval; EPM, equine protozoal myeloencephalitis; FNP; facial nerve paralysis; OR, odds ratio; Ref., Reference; TB, thoroughbred; UAE, upper airway examination.