CLINICAL, SOME EPIDEMIOLOGICAL AND RISK FACTORS STUDIES OF COENUROSIS IN SHEEP AT DAKAHLIA GOVERNORATE, EGYPT

Document Type : Research article

Authors

1 Department of Internal Medicine, Infectious Diseases and Fish Diseases. Faculty of Veterinary Medicine, Mansoura University, Egypt. Fax: 0020502379952

2 Department Parasitology, Faculty of Veterinary Medicine, Mansoura University, Egypt

3 Department of Animal Husbandry, Faculty of Veterinary Medicine, Mansoura University, Egypt.

Abstract

This study was carried on 747 sheep located in Dakahlia Governorate, Delta region, Egypt, over one year (March 2014 to February 2015). Out of them 43 sheep showed different nervous signs. The diseased sheep were incised and examined for the presence of Coenurus cerebralis cysts to study the clinical, risk factors, and some epidemiological pattern of coenurosis. Brain samples from 43 diseased sheep from four localities in Dakahlia Governorate were collected. The various nervous clinical signs of coenurosis were presented in variant degrees regarding to the affected site and location of the coenurus cyst. The clinical manifestation represented by head tilting 42%, head pressing 3.48%, dropping of ears 49%, circling 70%, blindness 16%, recumbencey 30%, and posterior paralysis 11.53%. The relationship between the site of coenurus cyst and the manifested clinical signs could help in predicting the location of the cyst from the clinical signs for further interference specially in case of  valuable animals. A significant correlation was detected between prevalence of coenurosis, rearing system, availability of dogs & fox and locality at P-values < (0.019, 0.019 and 0.044, respectively).The risk factors and epidemiological patterns could help in developing control measures.

Keywords


AssiutUniversity web-site: www.aun.edu.eg

 

CLINICAL, SOME EPIDEMIOLOGICAL AND RISK FACTORS STUDIES OF COENUROSIS IN SHEEP AT DAKAHLIA GOVERNORATE, EGYPT

 

MOHAMED A. EL BESKAWY 1; SAMAR M. ATWA1; IBRAHEIM A. ABBAS 2 and

EMMAN A. ABOELFADL3

1Department of Internal Medicine, Infectious Diseases and Fish Diseases. Faculty of Veterinary

Medicine, Mansoura University, Egypt. Fax: 0020502379952

2 Department Parasitology, Faculty of Veterinary Medicine, Mansoura University, Egypt.

3 Department of Animal Husbandry, Faculty of Veterinary Medicine, Mansoura University, Egypt.

 

Received: 31 March 2018;     Accepted: 24 April 2018

 

 

ABSTRACT

 

This study was carried on 747 sheep located in Dakahlia Governorate, Delta region, Egypt, over one year (March 2014 to February 2015). Out of them 43 sheep showed different nervous signs. The diseased sheep were incised and examined for the presence of Coenurus cerebralis cysts to study the clinical, risk factors, and some epidemiological pattern of coenurosis. Brain samples from 43 diseased sheep from four localities in Dakahlia Governorate were collected. The various nervous clinical signs of coenurosis were presented in variant degrees regarding to the affected site and location of the coenurus cyst. The clinical manifestation represented by head tilting 42%, head pressing 3.48%, dropping of ears 49%, circling 70%, blindness 16%, recumbencey 30%, and posterior paralysis 11.53%. The relationship between the site of coenurus cyst and the manifested clinical signs could help in predicting the location of the cyst from the clinical signs for further interference specially in case of  valuable animals. A significant correlation was detected between prevalence of coenurosis, rearing system, availability of dogs & fox and locality at P-values < (0.019, 0.019 and 0.044, respectively).The risk factors and epidemiological patterns could help in developing control measures.

 

Key words: Coenurus cerebralis, epidemiology, risk factors, sheep, Egypt.

 

 


INTRODUCTION

 

Coenurosis is a fatal disease of sheep and goats caused by T. Multiceps which is characterized by nervous manifestations including circling, blindness, head deviation and mortalities (Njau et al., 1988, Biyikoglu et al., 1998 and EL Beskawy et al., 2016) the economic impacts of this disease were a significant (Bussell et al., 1997 and Achenef et al., 1999).

 

Coenurus cerebralis is the metacestode of the tapeworm Taenia multiceps. Domestic and wild canids constitute the predators, while a wide range of herbivores, including small and large ruminants, yak and equines are the prey hosts, (Sharma and Chauhan 2006). This parasite usually inhabits the central nervous system specially the left and right cerebral hemispheres of herbivores. (Desouky et al., 2011).

 

 


Corresponding author: Dr. MOHAMED A. EL BESKAWY

E-mail address:melbeskawy@gmail.com

Present address: Department of Internal Medicine, Infectious Diseases and Fish Diseases. Faculty of Veterinary Medicine, Mansoura University, Egypt.

 

The prevalence of sheep coeneurosis was reported in many countries like in Iran (9.8%) Oryan et al. (1994), in Turkey (1.3%) Akkaya and Vurusaner, 1998; in Jordon (3%) Abo-Shehada et al. (2002); in Italy (0.35%) Scala et al. (2007); and (5%) in Brazilain sheep (Gazioglu et al., 2017), and in Egypt overall infection rate was (3.03%) Amer et al. (2017) and (2.3%) (EL Beskawy et al., 2016) and C. cerebralis cysts were found in (3.7%) out of the examined sheep of the involved sheep population. (Abbas and EL Beskawy 2016).

 

This study was aimed primarily to investigate the most common risk factors associated with occurrence of coenurosis in different geographical regions of Dakahlia Governorate, Egypt. Further more the relationship between site of coenurosis cyst and the manifested clinical signs of diseased animals.

 

MATERIALS AND METHODS

 

1- Studied area

Dakahlia Governorate, is about 3459 kilometers square located in the northeast of the delta region, Egypt, has a large number of animals specially sheep (119850 heads). Sheep flocks in these localities were varied in their numbers from sixty to up to one hundred per flock, Table (1) and Fig.(1), but all of them participate the same regimen of grazing as semi-fixed flocks. The migratory nature of these flocks from place to place, rendered them in contact with other flocks and sometimes with wild animals.

 

Questionnaire includes the different risk factors as age, sex, circling radius (wide or narrow), disposal of offal by (burning, burrier, in water canals, or introduction to dogs within the flocks), contact with dogs and other carnivores as foxes, periodic treatment of in contact dogs, the site of the cyst in the cerebrum, cerebellum or spinal cord and the type of rearing (inside or outside doors), were fully discussed.

 

2- Animals

From March 2014 to February 2015, 747 sheep located in Dakahlia Governorate, Delta region, Egypt, were examined according to (Constable et al., 2017) 43 animals showed different nervous signs which were recorded. The diseased animals were slaughtered and postmortem exanimation were done according to (Harris 1998).

 

3- Samples collection

Forty threebrain samples were obtained after palpation and incision of brains from 43 diseased sheep showing typical nervous signs of coeneurosis allover one year (March 2014 to February 2015). Identification and examination of cysts were done in Parasitology Department, Faculty of Veterinary Medicine, Mansoura University, Egypt, All procedures were approved by the Ethical Committee for Animal Experiments, Mansoura University, Egypt.

 

4- Statistical analysis

Data analysis were performed using SPSS version 16.0 (SPSS). Difference in occurrence of clinical signs according to cyst site (cerebrum and cerebellum) were statistically evaluated using (crosstabs) Chi-square test to compare their distribution. The chi-squared test was used to determine whether there was a significant difference between the expected frequencies and the observed frequencies in our outcomes. Also, non parametric correlation test (Kendall's tau-b and Spearman's rho correlation tests were used to test the relation between disposal of offals, prevalence of cysts and (age, sex, locality, type of rearing and presence of dogs & fox). It assesses how well the relationship between variables can be described using a monotonic function. SPSS, (2004).

 

RESULTS

 

Forty three sheep out of 747 sheep in four localities, showed different nervous signs by clinical examination (Table 1). The various nervous signs were head tilting 42%, dropping of ears 49%, circling 70%, blindness 16% and recumbency 30%, (Table 2 & Figs.2-8). Twenty six out of 43 diseased sheep showed Coenurus Cerebralis. cyst, revealed prevalence of 3.48%. The cysts was located in the cerebral hemispheres, and the cerebellum(Figs 9-14).

 

The frequency of coenurosis in different localities was 42.33%, 19.23%, 23.07%, and 15.38% for Belkas, Mansoura, Dikrnis and Aga respectively, (Table 3). Furthermore, it was 30.76% and 69.23% for male and female respectively, in addition to the site of the cyst, the frequency of coenurosis was 80.76% for cerebrum and 19.23% for cerebellum, while rearing system as outdoor rearing was presented by 61.53% and indoors was 38.46% (Table  3).

 

A highly significant difference in the distribution of cysts was detected in wide circling and narrow circling and it was high in the cerebrum in a wide circling, but it was high in cerebellum in case of narrow circling and no significant difference were detected in other signs due to the effect of the cyst (Table 4).

 

A significant correlation was detected between prevalence of cysts and (rearing system, availability of dogs & fox and locality) at P-value (0.019, 0.019 and 0.044, respectively table (5).


 

Table 1: Area of study and numbers of samples:

 

Area

Total number Of examined sheep

Number of sheep showing nervous signs

Belkas

583

25

Mansoura

58

5

Dikirnis

44

6

Aga

62

7

Total

747

43

 

Table 2: percentage of different clinical signs of coenurosis infected sheep.

 

Clinical signs

No. of Coenurosis infected sheep

Total No. (26)

Percent (%)

Head tilting

18

42%

Head pressing

1

3.84%

Dropping of ears

21

49%

Circling

22

70%

Blindness

7

16%

Recumbencey

13

30%

Posterior paralysis

3

11.53%

 

Table 3: Presence of Coenurosis infected sheep according to locality, sex, location of the cyst, age and breeding system.

Items

Criteria

Frequency(No.=26)

Percent

localty

Belkas

11

42.33%

Mansoura

5

19.23%

Dikirnis

6

23.07%

Aga

4

15.38%

sex

male

8

30.76%

female

18

69.23%

Location of cyst

cerebrum

21

80.76%

cerebellum

5

19.23%

Rearing system

Outdoors

16

61.53%

indoors

10

38.46%

Age

0 – 3 months

0.0

0.0 %

4 Months – 1 year

11

42.33%

>1year – 2 years

6

23.07%

>2years

9

34.61%

 

Table 4: The effect of location of the cyst and outcome of different clinical signs.

Cyst location

                                     signs

Chi- Value

df

P-value

Location of cysts * Head tilting

0.434

1

0.510N.S

Location of cysts * Wide circling

20.63

1

0.000**

Location of cysts * Narrow circling

26.00

1

0.000**

Location of cysts *Head pressing

0.248

1

0.619 N.S

Location of cysts * Dropping ears

2.23

1

0.135 N.S

Location of cysts * Posterior paralysis

4.91

1

0.085 N.S

Location of cysts * blindness

1.47

1

0.225 N.S

Location of cysts * recumbency

0.516

1

0.473 N.S

 

A highly significant difference in the distribution of cysts were detected in wide circling and narrow circling and it was high in cerebrum in wide circling but it was high in cerebellum in case of narrow circling and no significant difference were detected in other signs due to the effect of the cyst.

 

Table 5: Different risk factors affecting prevalence of coenurosis infected sheep.

Bivariate correlation

Kendall's tau-b

Spearman's rho correlation

Prevalence of coenurosis*presence of dogs

-0.243 (p< 0.148) N.S

-0.289 (p< 0.152) N.S

Prevalence of coenurosis *removal of disposal

-0.195(P<0.255) N.S

-0.232 (p< 0.264) N.S

Prevalence of coenurosis * type of rearing

0.395(p<0.019)*

0.470 (p< 0.015)*

Prevalence of coenurosis *availability  of dogs&fox

-0.393(p<0.019)*

-0.468 (p< 0.016)*

Prevalence of coenurosis *age

0.218(p<0.156) N.S

0.286 (p< 0.156) N.S

Prevalence of coenurosis *sex

0.332(p<0.048) N.S

0.395 (p< 0.046) N.S

Prevalence of coenurosis *locality

0.312(p<0.044)*

0.413 (p< 0.036)*

A significant correlation was detected between prevalence of cysts and (rearing system, availability of dogs &fox and locality) at P-value< (0.019, 0.019 and 0.044, respectively)

 

     

 

     

  

      

           

 

     

 


DISCUSSION

 

Coenurosis is a serious disease responsible for high economic losses in the sheep industry, in addition to its zoonotic impact. Coenurus Cerebralis considered as the principal cause for nervous manifestations of sheep and goats in Egypt, (Desouky et al., 2011).

 

The overall prevalence of coenurosis in this study was (3.48%) as 26 generates sheep out of 747 total previously examined sheep, in Egypt, Coenurus Cerebralis intermediate stage of T. Multiceps infection was estimated at 18.3% in sheep flock from Suez Canal province (Desouky et al., 2011, Anwar et al., 2013) reported 100% prevalence in clinically diseased sheep from Cairo, although they did not find any cysts in the apparently healthy animals. Globally, different occurrences were recorded, 44.4% in Tanzania (Mira et al., 2015), 100% and 2.7% from clinically diseased and apparently healthy sheep, respectively from 7.3% in Iraq (Karim 1979), Ethiopia (Achenef et al., 1999), 3% in Jordon (Abo-Shehada et al., 2002), 0.35% in Italy (Scala et al., 2007), 15.5% in Turkey (Gicik et al., 2007) and 18.7% in Iran (Tavassoli et al., 2012), The variations in the prevalence in different geographical zones might be attributed to the varied geographical, sociological and ecological factors (Sharma and Chauhan 2006).

 

The various nervous clinical signs of coenurosis were presented in varying degrees according to the affected site of the brain and site of the coenurus cyst either in the cerebrum or cerebellum, Table (2) and Figs. (2-14)., (Abo- Shehada et al., 2002) the severity of clinical signs attributed to the inflammatory response of the animal, the site of the cyst, and the number of the ingested viable T. Multiceps eggs (Edwards, and Herbert, 1982).

 

Recognition of risk factors affecting the prevalence of coenurosis, the locality had a clear role as shown in Table (3) Belkas was the highest in frequency  of coenurosis (42.33%), and Aga was the lowest (15.38%), A significant correlation was detected between prevalence of coenurosis and locality at P-value < 0.044, Table (5) this was due to the open borders of Belkas and availability to stray dogs, foxes, and in contact with other travelling flocks during feeding on the stumps of the crops after harvesting season.

 

The risk of sex on prevalence of coenurosis was noticed as females were higher in prevalence in comparison to males Table (3) as males usually kept for meat consumption only and usually sold for fattening while females always kept for breeding, the chance for a females to be infected by coenurosis is higher than males, this is in parallel with that of Karim (1979).

 

Age remains an important risk factor for coenurosis, as age group started from 4 months up to 1 year was the highest 42.33% Table (3) these results were in agreement with that of (Achenef et al., 1999) who reported that susceptible age of sheep to coenurosis ranged from 6 to 24 months and (Abo- Shehada et al., 2002) who reported a prevalence rate of 10% of coenurus cysts in the age group six months to 2.5 years.. While age group 0 - 3 months was 0.0% at this age had little chance of infection with coenurosis due to their feeding habits, the long incubation period and maternal immunity (Sharma and Chauhan 2006).

 

The rearing system as a risk factor for occurrence of coenurosis was clear in sheep reared outdoors was higher in prevalence of coenurosis than that kept indoors Table (3), there was a significant correlation between prevalence of coenurosis and rearing system, at a P - value < 0.019, Table (5), this due to the fact that outdoors, sheep were in contact with other infected flocks, stray dogs, contaminated pastures by the feces of dogs and other carnivores, also, a significant correlation was detected between prevalence of coenurosis and availability of dogs (present within the flocks or stray) & foxes at P-value <0.019 Table (5) in contact with sheep.

 

Prevalence of coenurosis within the cerebral cyst was higher (80.76%) than coenurosis within cerebellar cyst (19.23%), Table (3) this was in accordance with that of (Achenef et al., 1999) as he reported 96% for cerebral coenurosis and 4% for cerebellar coenurosis. The relationship between the location of the coenurus cyst and the circling was clear as there was a highly significant difference in the distribution of cysts in wide circling and narrow circling. It was high in cerebrum in wide circling but it was high in cerebellum in case of narrow circling and no significant difference were detected in other signs due to the site of the cyst either in cerebrum or cerebellum. Table (4).

 

In this study, In spite of non significant correlation between prevalence of coenurosis, and disposal of offals of sheep to dogs, it is very important to put in mind that preventing offals of sheep to reach dogs or foxes is a critical point in preventing coenurosis in sheep specially when there is no, treatment regimens for dogs.

 

CONCLUSION

 

The rearing system, locality, age, sex of sheep, the presence of dogs specially none treated with contact with sheep are considered as the major risk factors for occurrence of coenurosis in sheep flocks.

 

The clinical picture of the coenurosis manifested differently according to the site of the cyst (cerebrum or cerebellum) in the brain especially with the circling radius could help in predicting the location of the cyst from the clinical signs for further interference specially in case of  valuable animals.

 

ACKNOWLEDGEMENT

 

The authors would like to thank Prof. Dr. Mohamed Ibraheim Eissa Prof. of Infectious Diseases, Faculty of Veterinary Medicine, ZagazigUniversity for his kind help in revising the manuscript.

 

AUTHOR’S CONTRIBUTION

 

Mohamed EL beskawy designed and carried out the wok, sample collection and wrote the article, Samar Atwa shared in sample collection and writing the article Emman Aboelfadl, carried out the statistical analysis, I., Abbas, diagnosed and identified the coenurus cyst, all authors wrote and approved the final manuscript.

 

REFERENCES

 

Abbas, I. and El Beskawy, M. (2016): Molecular and Phylogenetic Status of Coenurus cerebralis Infecting Sheep from Dakahlia Province, Egypt, The Journal of Advances in Parasitology, 3,(4) 117–124.

Abo-Shehada, M.N.; Jebreen, E.; Arab, B.; Mukbel, R. and Torgerson, P. (2002): Prevalence of Taenia multiceps in sheep in northern Jordan. Prev. Vet. Med; 55: 201-202.

Achenef, M.; Makos, T.; Feseha, G.; Hibert, A. and Tembely, S. (1999): Coenurus cerebralis infection in Ethiopian Highland sheep: Incidence and observations on pathogenesis and clinical signs. Trop. Anim. Health Prod; 33 (1): 15-24.

Akkaya, H. and Vurusaner, C. (1998): Coenuriasis cerebralis in sheep and Calves Slaughtered in Istanbul. Acta Parasitol Turcica, 22(3): 320-324.

Amer. S.; Ahmed ElKhatam; Yasuhiro Fukuda; Lamia I. Bakr; Shereif Zidan; Ahmed Elsify; Mostafa A. Mohamed; Chika Tada and Yutaka Nakai (2017): Prevalence and Identity of Taenia multiceps cysts “Coenurus cerebralis” in Sheep in Egypt. Acta Tropica 176, December 2017, Pages 270-27

Anwar, S.; Mahdy, E.; El-Nesr, K.A.; El-Dakhly, K.M.; Shalaby, A. and Yanai, T. (2013): Monitoring of parasitic cysts in the brains of a flock of sheep in Egypt. Rev. Bras. Parasitol. Vet., 22 (3): 323-330.

Benifla, M.; Barrelly, R.; Shelef, I.; El-On, J.; Cohen, A. and Cagnano, E. (2007): Huge hemispheric intraparenchymal cyst caused by Taenia multiceps in a child. Case report. J. Neurosurg; 107 (6): 511-514.

Biyikoglu, G. and Doganay, A. (1998): Effects of praziquntel and albendazole on Coenurus cerebralis in experimentally infected lambs. Turk Veterinerlik ve Hayvancilik Dergisi 22 (1): 43-48.

Bussell, K.M.; Kender, A.E. and Scott, P.R. (1997): Posterior paralysis in a lamb caused by a Coenurus cerebralis cyst in the lumbar spinal cord. Vet. Rec; 140: 560.

Constable D. Peter; Kenneth W. Hinchcliff; Stanely H. Done and Walter GRـnberg (2017): Veterinary Medecine: A text book of the diseases of Cattle, Horses, Sheep, Pigs and Goats, Eleventh Edition, 3251 Riverport Lane, St. Louis, Missouri63043

Desouky, E.A.; Badawy, A.I. and Refaat, R.A. (2011): Survey on coenurosis in sheep and goats in Egypt. Veterinaria Italiana, 47 (3): 333-340.

Edwards, G.T. and Herbert, V. (1982): Observation on the course of Taenia multiceps infections in sheep: clinical signs and post-mortem findings. Brit. Vet. J. 138, 489–500.

El-beskawy, M.A.; Mohamed El-Adl; Mohamed Hamed; Mayar Ali and Moustafa Al-Araby (2016): Myelin Basic Protein is Down-Regulated in Sheep Affected with Ovine Coenurosis. Alexandria Journal of Veterinary Sciences, Oct. 51 (1): 198-206.

Gazioglu, A.; Sami Simsek; Omer Kizil; Ali Osman Ceribasi; Harun Kaya Kesik and Haroon Ahmed (2017): Clinical, pathological and molecular evaluations and CT scan screening of coenurosis (Coenurus cerebralis) in sheep and calves. Braz. J. Vet. Parasitol., Jaboticabal, v. 26, n. 1, p. 3-9.

Gıcık, Y.; Kara, M. and Arslan, M.O. (2007): Prevalence of Coenurus cerebralis in sheep in Kars Province, Turkey. Bull. Vet. Inst. Pulawy 51: 379–382.

Harris, H.E. (1998): Veterinary pathology, 4th Edition Oxford, unipress, New York, Torento.

Inechukwu, B.I. and Onwukeme, K.E. (1991): Intraocular coenurosis: a case report. Br. J. Opthalmol; 75 (7): 430-431.

Karim, M.A. (1979): A survey of coenurosis in sheep in Northern Iraq. Trop. Anim.  Hlth. and Prod., 11(1): 157-158.

Miran, M.B.; Nzalawahe, J.; Kassuku, A.A. and Swai, E.S. (2015): Prevalence of coenurosis in sheep and goats at three slaughter slabs in Ngorongoro District, Tanzania. Trop. Anim. Health Prod., 47(8): 1591-1597.

Njau, B.C.; Kasali, O.B.; Scholtens, R.G. and Mesfin, D. (1988): Review of sheep mortality in Ethiopian highlands (ILCA Bulletin No. 31, AddisAbaba, Ethiopia): 19–22. (cited by Achenef, M; Markos, T; Feescha, G;  Hibret, A. and Tembley, S. (1999): Coenurus cerebralis infection in Ethiopian highland sheep: incidence and observations on pathogenesis and clinical signs. Trop. Anim. Health Prod; 33 (1): 15–24.

Oryan, A.; Moghaddar, N. and Gaur, S.N.S. (1994): Metacestodes of sheep with special reference to their epidemiological status, pathogenesis and economic implications in Fars ProvinceIran. Vet. Parasitol; 51 (3-4): 231–240.

Scala, A.; Cancedda, G.M.; Varcasia, A.; Ligios, C.; Garippa, G. and Genchi, C. (2007): A survey of Taenia multiceps coenurosis in Sardinian sheep. Vet. Parasitol., 143 (3-4): 294-298.

Sharma, D.K. and Chauhan, P.P.S. (2006): Coenurosis status in Afro-Asian region: A review. Small ruminant research, 64: 197-202.

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Tavassoli, M.; Malekifard, F.; Soleimanzadeh, A. and Tajik, H. (2012): Prevalence of Coenurus cerebralis in sheep in Northwest of Iran. Vet. Res. Forum, 2: 274–276

 

 

دراسة إکلينيکية وبعض الدراسات الوبائية وعوامل الخطر عن مرض السنيورس في الأغنام

في محافظة الدقهلية- مصر

 

محمد البسکاوى ، سمر عطوة، إبراهيم عباس  ، إيمان أبو الفضل

 E-mail: melbeskawy@gmail.com    Assiut University web-site: www.aun.edu.eg

 

أجريت هذه الدراسة على 747 رأس من الأغنام في محافظة الدقهلية، منطقة الدلتا، مصر، على مدار عام ابتداء من مارس 2014  وحتى فبراير2015 تم إجراء الصفة التشريحية الأغنام المريضة والتي  أظهرت أعراضا عصبية مختلفة.وتم  اخذ العينات  المخية لدراسة العوامل الإکلينيکية وعوامل الخطر وبعض أنماط وبائية مرض السنيورس في الأغنام حيث تم جمع عينات من 43 خروف مريض من أربع تجمعات في محافظة الدقهلية. تم سرد الأعراض الإکلينيکية العصبية المختلفة لداء السنيورس بدرجات متفاوتة بالرجوع إلى الجانب المصاب من المخ والمخيخ والحبل الشوکى ومکان حويصلة السنيورس في الأجزاء سالفة الذکر .وکانت  الأعراض الإکلينيکية ممثلة بالرأس المائلة 42٪ ، حمل الرأس باتجاه الأجزاء الصلبة من البيئة المحيطة 3.48٪ ، انخفاض الأذن 49٪ ، الدوران 70٪ ، العمى 16٪، الرقود 30٪، والشلل الخلفي 11.53٪. أوضحت العلاقة بين موقع حويصلة السينورس والأعراض الإکلينيکية حيث يمکن أن تساعد في التنبؤ بموقع حويصلة السنيورس من خلال الأعراض الإکلينيکية لمزيد من التدخل العلاجي  خاصة في حالة الحيوانات ذات القيمة الاقتصادية العالية. تم الکشف عن وجود ارتباط کبير بين انتشار مرض السنيورس في الأغنام ، ونظام التربية ،مدى الاختلاط مع الکلاب والحيوانات البرية وخصوصا الثعالب ومن خلال  دراسة عوامل الخطر والأنماط الوبائية لمرض السنيورس في الأغنام لکي نتمکن من إجراء  تطوير تدابير السيطرة على المرض في المستقبل.
 
REFERENCES
 
Abbas, I. and El Beskawy, M. (2016): Molecular and Phylogenetic Status of Coenurus cerebralis Infecting Sheep from Dakahlia Province, Egypt, The Journal of Advances in Parasitology, 3,(4) 117–124.
Abo-Shehada, M.N.; Jebreen, E.; Arab, B.; Mukbel, R. and Torgerson, P. (2002): Prevalence of Taenia multiceps in sheep in northern Jordan. Prev. Vet. Med; 55: 201-202.
Achenef, M.; Makos, T.; Feseha, G.; Hibert, A. and Tembely, S. (1999): Coenurus cerebralis infection in Ethiopian Highland sheep: Incidence and observations on pathogenesis and clinical signs. Trop. Anim. Health Prod; 33 (1): 15-24.
Akkaya, H. and Vurusaner, C. (1998): Coenuriasis cerebralis in sheep and Calves Slaughtered in Istanbul. Acta Parasitol Turcica, 22(3): 320-324.
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