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Headshaking is being studied for more than 100 years.
Though an increasing number of horses is suffering from it and the ones which were properly diagnosed are being treated, it is still not understood in full; the research is an ongoing and currently a very much talked about subject.

 

For example: in September 2004 the German Federation National, FN in short, was holding a symposium about HS for horse show veterinarians.

Different theories are emerging on the internet, with that available to a broader public. Theories, which are investigated for years, which refer to horses without 'visible' reason for HS, like an ear mites infestation does; with more or less successful results in treatment. Non of the scientifically proven theories should be discarded, even if they don't apply to EVERY horse.

In this site we are going to read about these theories and their backgrounds.

The most obvious causes of HS are known widely, other like idiopathic headshaking are still undergoing intense research and seems to be caused by several disorder/illnesses and/or events and then finally triggered, one major factor is thought to be high stress. More to read under in the chapter  Theories under Research.

Below you can read about the common known medical causes, I list a few of by now over 70 established causes:

- ear mite infestation
   The ear mite is an eight-legged parasite, with it's Latin name 'otodectes'. It can infect any other mammal, not
   living in the sea or water. This mite has hairs over its body and, as it moves around the ear canal, the hairs
   cause intense irritation that can lead to infection and even to the rupture of the ear drum.
- jaw, teeth and mouth/gum problems
   foreign objects in the mouth, sharp edges in on molars, etc.
- changes of the eye
   Squamous cell carcinoma is a common tumor of horses in areas of intense sunlight or high altitude. It is one of the most common tumors
   of the eye of the horse. Link
- otitis media & interna
   otitis Interna: Inflammation of the inner ear; also called labyrinthitis.
   otitis Media: Inflammation of the middle ear; also called tympanitis.
- allergic rhinitis
   is the most common cause of rhinitis, commonly called 'Hay Fever'
- vasomotor rhinitis or idiopathic rhinitis
   The cause of vasomotor rhinitis remains obscure despite its recognition for many years. It is known 
   that the lining inside an affected nose overreacts to anything that irritates it. Blood vessels enlarge (vasodilate)
  and this results in chronic swelling and nasal obstruction. There is some evidence that individuals
  with vasomotor rhinitis have an imbalance in the nerve supply to the nose which leads to the dilated blood
  vessels.
- osteoma of the paranasal sinuses (PNS)
   osteoma is the most common benign tumor of the nose and paranasal sinuses causing erosion of the sinus
   walls. PNS are mucosal lined air filled cavities in the skull bones adjacent to the nasal cavity and
   also communicating with this cavity.  There are paired and unpaired sinuses. The paired ones are Maxillary
   sinuses, Ethmoidal sinuses, Frontal sinuses. Spenoidal sinus is unpaired. 
- traumatic cranial neuropathy
   Nerve injuries may result from mechanical blows, gunshot wounds, fractures, pressure, and stretching.
   Cranial Nerves: These are twelve nerves that govern the function of various processes in the head, such as
   the horse's ability to cock the ears forward when it hears something interesting, the ability to swallow food,
   or its ability to pick up even very slight noises. Some individuals also experience burning/tearing of the eyes.
- cervical (neck) injuries
- adrenaline maladaption
- guttural pouch mycosis  External Link
   The most common clinical sign of a fungal infection of the guttural pouches is severe bleeding from the nose
   (epistaxis) not related to exercise. This is a result of erosion of the wall of the internal carotid artery, in
   most cases. When local nerves are damaged, the horse might have difficulty swallowing (dysphagia).
- partial asphyxia
   is a condition of severe lack of oxygen supplied to the body most likely induced by upper airway obstruction.
   Prolonged asphyxia can result in brain damage even when it does not cause death.
- optic trigeminal summation (photic head shaking)
          
   The theory of optic-trigeminal summation holds that the optic and trigeminal nerves are intimately linked
   in the mid-brain. A neurological disorder also known in human. External Link 
- infraorbital neuritis
   The infraorbital nerve is a branch of the maxillary division of the trigeminal nerve, and is entirely sensory.
   This neuritis is the result of inflammation within the nerve from trauma, bacterial, viral, or toxins.
- temporomandibular dysfunction (TMD)
   Temporomandibular Joint (TMJ) is the joint that allows jaw mobility.
   When these bones are misaligned and not articulating properly and the surrounding tissue of the TMJ is stressed,
   the TMJ Mechanism is out of balance and cannot function optimally. It is a multifactor syndrome,
   meaning there are multiple factors, called contributing factors, which are involved in TMD's genesis.
   This condition is known as Temporomandibular Dysfunction, or TMD.  
- herpes virus infection 
   Studies in England AND veterinary practice are pointing in the direction that the life virus can cause HS. However it is NOT proven
   that vaccination with (mostly) dead virus vaccine will cause it.

- Lyme disease (Borreliose) and Ehrilichiosis
   Borreliose  is caused by a bacteria called Borrelia burgdorferi. Ehrlichiosis is caused by a specialized bacteria called Rickettsiae

 

Above causes are not the only causes, many more can cause HS, sometimes a combination of several factors; often it is unknown, why for example pure pasture horses, with "optimal life style" all of a sudden suffer under HS. And it is the same phenomena why lots of horses all of a sudden stop, after years of being ill, without ANY treatment.

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