Floppy Trunk Syndrome
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Floppy trunk syndrome (abbreviated FTS, also known as flaccid trunk paralysis) is a condition that causes trunk
paralysis Paralysis (: paralyses; also known as plegia) is a loss of Motor skill, motor function in one or more Skeletal muscle, muscles. Paralysis can also be accompanied by a loss of feeling (sensory loss) in the affected area if there is sensory d ...
in
African bush elephant The African bush elephant (''Loxodonta africana''), also known as the African savanna elephant, is a species of elephant native to sub-Saharan Africa. It is one of three extant elephant species and, along with the African forest elephant, one ...
s. Initially observed in 1989, the syndrome primarily affected bull elephants in several select regions in
Zimbabwe file:Zimbabwe, relief map.jpg, upright=1.22, Zimbabwe, relief map Zimbabwe, officially the Republic of Zimbabwe, is a landlocked country in Southeast Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa to the south, Bots ...
. Afflicted elephants exhibit paralysis in their trunk, often having to adapt to feed. The loss of their trunks' prehensile abilities results in
malnutrition Malnutrition occurs when an organism gets too few or too many nutrients, resulting in health problems. Specifically, it is a deficiency, excess, or imbalance of energy, protein and other nutrients which adversely affects the body's tissues a ...
and possibly death. The condition is a result of degeneration of
nerves A nerve is an enclosed, cable-like bundle of nerve fibers (called axons). Nerves have historically been considered the basic units of the peripheral nervous system. A nerve provides a common pathway for the electrochemical nerve impulses called ...
in the trunk, and is suggested to be a result of either heavy metals or toxins. There is debate over whether the condition is reversible.


History

Floppy trunk syndrome was initially observed in 1989 on Fothergill Island, in
Matusadona National Park Matusadona National Park is a national park in northern Zimbabwe situated on the southern shore of Lake Kariba. The park takes its name from the local Matuzviadonha Hills. History Matusadona was proclaimed a non-hunting area on 7 November 1958 ...
, Zimbabwe, near
Lake Kariba Lake Kariba is the world's largest artificial lake and reservoir by volume. It lies upstream from the mouth of the Zambezi river on the Indian Ocean, along the border between Zambia and Zimbabwe. Lake Kariba was filled between 1958 and 1963 fo ...
. Five more cases were observed in the same location around a year later, and several more cases were observed in July and August 1992. Several elephants suffering from the condition were surgically biopsied while paralyzed in May 1989, and a necropsy of affected elephants was performed in November 1991 and April 1992.


Signs and symptoms

Elephants with floppy trunk syndrome typically initially exhibit a loss of their trunk's
prehensile Prehensility is the quality of an appendage or organ that has adapted for grasping or holding. The word is derived from the Latin term ''prehendere'', meaning "to grasp". The ability to grasp is likely derived from a number of different origin ...
abilities. The paralysis has been observed to start at the tip and work its way upward over the course of several months. As their trunks become increasingly paralyzed, elephants have difficulty feeding and learn to use their front feet or throw their trunk over branches to aid feeding. To avoid stomping on their trunk while walking, an elephant afflicted with the condition would fling their trunk over their tusks. In later stages of paralysis, affected elephants needed to submerge themselves partially in water to drink. However, despite these learned adaptations, affected elephants were observed as emaciated, suffering from
muscle atrophy Muscle atrophy is the loss of skeletal muscle mass. It can be caused by immobility, aging, malnutrition, medications, or a wide range of injuries or diseases that impact the musculoskeletal or nervous system. Muscle atrophy leads to muscle weakne ...
and a lack of
visceral fat Adipose tissue (also known as body fat or simply fat) is a loose connective tissue composed mostly of adipocytes. It also contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, Blood vessel, vascular endothel ...
. Untreated, this handicap could result in starvation.


Scope

FTS has been observed in the northwest of Zimbabwe, the Satara area of Kruger National Park, and Fothergill in Lake Kariba. The syndrome has only been observed in free-ranging elephants specifically ''
Loxodonta africana The African bush elephant (''Loxodonta africana''), also known as the African savanna elephant, is a species of elephant native to sub-Saharan Africa. It is one of three extant elephant species and, along with the African forest elephant, one ...
'', and primarily affects older male elephants. Over thirty elephants were observed to be afflicted with this paralysis, including at least eight in
Kruger National Park Kruger National Park () is a national park in South Africa covering an area of in the provinces of Limpopo and Mpumalanga in the country's northeast. It extends from north to south and from east to west. The administrative headquarters are i ...
and twelve cases near Fothergill Island. In Gonarezhou National Park in south eastern Zimbabwe, several cases of FTS have been reported since 2013 (approximately half a dozen individuals) all of which were elephant bulls.


Possible causes

The paralysis is caused by degeneration of
peripheral nerves The peripheral nervous system (PNS) is one of two components that make up the nervous system of bilateral animals, with the other part being the central nervous system (CNS). The PNS consists of nerves and ganglia, which lie outside the brain a ...
, which begins at the tip of the trunk. A comparison of areas affected by FTS and unaffected areas suggests three plant species may be the cause: ''
Heliotropium ''Heliotropium'' is a genus of flowering plants traditionally included in the family Boraginaceae ''s.l.'', but placed in the family Heliotropiaceae within the Boraginales order, by the Boraginales Working Group.. There are around 325 species ...
'', specifically ''Heliotropium ovalifolium'', ''
Indigofera ''Indigofera'' is a large genus of over 750 species of flowering plants belonging to the pea family Fabaceae. They are widely distributed throughout the tropical and subtropical regions of the world. Description ''Indigofera'' is a varied genu ...
'', and '' Boerhavia''. Native to
Nigeria Nigeria, officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf of Guinea in the Atlantic Ocean to the south. It covers an area of . With Demographics of Nigeria, ...
, ''Heliotropium ovalifolium'' is known to be poisonous and has been cited to cause diarrhea and bleeding in humans. It is theorized that elephants are being forced to consume toxic vegetation due to changes in weather patterns and to the natural ecology of their habitats. Several cases were observed when
drought A drought is a period of drier-than-normal conditions.Douville, H., K. Raghavan, J. Renwick, R.P. Allan, P.A. Arias, M. Barlow, R. Cerezo-Mota, A. Cherchi, T.Y. Gan, J. Gergis, D.  Jiang, A.  Khan, W.  Pokam Mba, D.  Rosenfeld, J. Tierney, ...
conditions enabled elephants to access grasslands adjacent to Fothergill Island.
Lead poisoning Lead poisoning, also known as plumbism and saturnism, is a type of metal poisoning caused by lead in the body. Symptoms may include abdominal pain, constipation, headaches, irritability, memory problems, infertility, numbness and paresthesia, t ...
has also been suggested as a cause. The degeneration of nerves found in afflicted elephants mirrors the effect of lead intoxication in humans and horses. Additionally, potentially mitigating factors of lead poisoning, such as dietary
selenium Selenium is a chemical element; it has symbol (chemistry), symbol Se and atomic number 34. It has various physical appearances, including a brick-red powder, a vitreous black solid, and a grey metallic-looking form. It seldom occurs in this elem ...
, are deficient in Zimbabwe.


Treatment

There is no known treatment for FTS, as the cause is not yet known. There are conflicting reports on whether the paralysis is reversible; some sources claim that moving an elephant away from the area in which it contracted the condition will allow it to recover, while others claim that damage to the trunk is irreversible. In some extreme cases, wildlife managers have had to euthanise affected elephants.


References

{{reflist, 30em Elephant diseases Syndromes in mammals