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Peer-reviewed veterinary case report

Update on Idiopathic Trigeminal-Mediated Headshaking.

Journal:
The Veterinary clinics of North America. Equine practice
Year:
2026
Authors:
Aleman, Monica & Morales, Camilo J
Affiliation:
Department of Medicine and Epidemiology · United States

Abstract

Idiopathic trigeminal-mediated headshaking is a painful neuropathic disorder characterized by sudden, violent, predominantly vertical head movements of unknown etiology. Clinical signs may be seasonal or persistent and triggered by light, sound, exercise, or tactile nasal stimulation. The pathophysiology is multifactorial, involving abnormal trigeminal nerve excitability influenced by hormonal, environmental, and dietary factors. Treatment is challenging and typically multimodal, aiming to reduce trigeminal hypersensitivity and improve quality of life.

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Original publication: https://pubmed.ncbi.nlm.nih.gov/41723007/