Cranium
The equine cranium is the bony case that encloses and protects the brain. It is composed of several fused bones including the frontal, parietal, temporal, occipital, sphenoid, and ethmoid bones. The frontal bone is large and flat, forming the forehead. The zygomatic arch extends laterally. The orbits are complete bony rings in the horse (unlike some other species). The cranium is relatively small compared to the large facial portion of the horse skull.
The skull bones are palpable in many areas. Assess for symmetry, swelling, or crepitus after trauma. Radiography and CT are the primary imaging modalities.
Fractures of the skull bones from falls, kicks, or trailer accidents. Basilar skull fractures involving the temporal or occipital bones are often fatal.
The frontal and maxillary sinuses are prone to infection (sinusitis), cysts, and dental-related disease. The caudal maxillary sinus communicates with the upper cheek teeth roots.
Fractures of the lower jaw from kicks, falls, or dental extraction complications. The rostral mandible (incisive area) is most commonly affected.
Progressive proliferative osteoarthropathy of the temporohyoid joint that may cause fusion of the joint and fracture of the petrous temporal bone, damaging CN VII and CN VIII as they traverse the bone
Poll evil (inflammation of the atlantal bursa)
Inflammation or misalignment of the temporomandibular joint causes secondary spasm and atrophy, often linked to dental issues or poor bitting.
Fractures of the skull bones from falls, kicks, or trailer accidents. Basilar skull fractures involving the temporal or occipital bones are often fatal. Signs include: Bleeding from ears or nostrils; neurological signs (head tilt, nystagmus, depression); facial swelling; crepitus on palpation; may be obvious depression; epistaxis (nosebleed) from sinus fractures.; Swelling over the affected area; visible deformity; bleeding from the nostrils; neurological signs if brain is compressed; facial nerve damage causing lip droop or ear droop.; Consult veterinarian for specific symptoms.
The frontal and maxillary sinuses are prone to infection (sinusitis), cysts, and dental-related disease. The caudal maxillary sinus communicates with the upper cheek teeth roots. Signs include: Unilateral malodorous nasal discharge; facial swelling over the affected sinus; percussion over sinuses sounds dull (normally resonant); head shaking; occasionally dental pain or difficulty chewing.
Fractures of the lower jaw from kicks, falls, or dental extraction complications. The rostral mandible (incisive area) is most commonly affected. Signs include: Swelling of the lower jaw; inability to close mouth properly; malocclusion; drooling; pain on palpation; visible displacement; may see bone through oral mucosa.; Consult veterinarian for specific symptoms.
Progressive proliferative osteoarthropathy of the temporohyoid joint that may cause fusion of the joint and fracture of the petrous temporal bone, damaging CN VII and CN VIII as they traverse the bone. Signs include: Consult veterinarian for specific symptoms.; Head shaking; difficulty eating; ear rubbing; acute onset vestibular signs (head tilt, nystagmus, circling); facial nerve paralysis; keratitis (corneal ulceration from inability to blink)
Poll evil (inflammation of the atlantal bursa) Signs include: Consult veterinarian for specific symptoms.
Inflammation or misalignment of the temporomandibular joint causes secondary spasm and atrophy, often linked to dental issues or poor bitting. Signs include: Reluctance to chew; quidding; head tossing; resistance to the bit; tenderness over the temporal fossa; visible muscle wasting above the eye.; Consult veterinarian for specific symptoms.; Difficulty chewing; quidding (dropping food); pain on palpation in front of the ear; clicking or popping sounds during chewing; asymmetric jaw movement.; Clicking or popping sounds when chewing; reduced jaw excursion; aversion to hard feeds; head rubbing against objects.; Clicking or popping at the TMJ during chewing; reluctance to chew on one side; dropping feed; head tilt while eating; pain on palpation of the TMJ.; Difficulty accepting the bit; mouth opening or crossing the jaw; head tossing when contact is taken; pain on palpation of the jaw angle; may accompany dental hooks or wolf teeth issues.
The skull bones are palpable in many areas. Assess for symmetry, swelling, or crepitus after trauma. Radiography and CT are the primary imaging modalities.
See the Cranium on our interactive 3D horse model. Open 3D Model