A few years ago, our older TB started exhibiting sudden neurological signs. Although never confirmed (expensive testing and he was 37 at the time) the leading diagnosis was EPM. We chose not to treat since the options are not only very expensive, but the outcomes are variable – complete resolution to moderate persistent ataxia to euthanasia. We did try prednisone and some other conservative treatments – but in the end, we had to help him across the bridge.

I had not heard of EPM up until that time. However, I will never forget it now.