A seven-year-old gelding presented for surgical management of right-sided olecranon bursitis. Preanaesthetic examination revealed a right-sided head tilt which had been present since birth. General anaesthesia and surgery went smoothly without incident. Recovery was prolonged and the horse made no attempt to stand despite regaining motor function consistent with recovery from general anaesthesia. Increasingly loud auditory stimuli and mild physical stimuli yielded no attempt to move into sternal recumbency or stand. After over two hours in the recovery box an equine neurologist suggested a diagnosis of vestibular disease and proposed that without a horizon the horse would not be able to orientate itself, therefore advising that the horse be shown the horizon. The outside recovery box door was opened allowing the horse to see the horizon, on which the horse made an immediate coordinated attempt to stand, standing successfully on its first attempt.
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Contributors SL was involved in anaesthesia of the case and wrote the intial manuscript and subsequent revisions, CH was involved as a consultant in the case and offered revisions to the manuscript, PJP was primary clincian in the case and offered revisions to the manuscript, JCD was involved in anaesthesia of the case and offered revisions to the manuscript.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Provenance and peer review Not commissioned; externally peer reviewed.
Data availability statement There are no data in this work.
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