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Floppy trunk syndrome (abbreviated FTS, also known as flaccid trunk paralysis) is a condition that causes trunk
paralysis Paralysis (also known as plegia) is a loss of motor function in one or more muscles. Paralysis can also be accompanied by a loss of feeling (sensory loss) in the affected area if there is sensory damage. In the United States, roughly 1 in 50 ...
in
African bush elephant The African bush elephant (''Loxodonta africana'') is one of two extant African elephant species and one of three extant elephant species. It is the largest living terrestrial animal, with bulls reaching a shoulder height of up to and a body ...
s. Initially observed in 1989, the syndrome primarily affected bull elephants in several select regions in
Zimbabwe Zimbabwe (), officially the Republic of Zimbabwe, is a landlocked country located in Southeast Africa, between the Zambezi and Limpopo Rivers, bordered by South Africa to the south, Botswana to the south-west, Zambia to the north, and Mozam ...
. 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) in the peripheral nervous system. A nerve transmits electrical impulses. It is the basic unit of the peripheral nervous system. A nerve provides a common pathway for the e ...
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 b ...
, Zimbabwe, near
Lake Kariba Lake Kariba is the world's largest artificial lake and reservoir (water), reservoir by List of lakes by volume, volume. It lies upstream from the Indian Ocean, along the border between Zambia and Zimbabwe. Lake Kariba was filled between 1958 and ...
. 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 A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist. The process involves extraction of sample cells or tissues for examination to determine the presence or extent of a disea ...
while paralyzed in May 1989, and a
necropsy An autopsy (post-mortem examination, obduction, necropsy, or autopsia cadaverum) is a surgical procedure that consists of a thorough examination of a corpse by dissection to determine the cause, mode, and manner of death or to evaluate any di ...
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 (anatomy), organ that has Adaptation (biology), adapted for grasping or holding. The word is derived from the Latin term ''prehendere'', meaning "to grasp". The ability to grasp is likely der ...
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 weakness ...
and a lack of
visceral fat Adipose tissue, body fat, or simply fat is a loose connective tissue composed mostly of adipocytes. In addition to adipocytes, adipose tissue contains the stromal vascular fraction (SVF) of cells including preadipocytes, fibroblasts, vascular en ...
. 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'') is one of two extant African elephant species and one of three extant elephant species. It is the largest living terrestrial animal, with bulls reaching a shoulder height of up to and a body ...
'', 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 South African National Park and one of the largest game reserves in Africa. It covers an area of in the provinces of Limpopo and Mpumalanga in northeastern South Africa, and extends from north to south and from ea ...
and twelve cases near Fothergill Island. In
Gonarezhou National Park Gonarezhou National Park is a national park located in southeastern Zimbabwe. It is situated in a relatively remote corner of Masvingo Province, south of Chimanimani along the Mozambique border. Owing to its vast size, rugged terrain and its loc ...
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 in the heliotrope family, Heliotropiaceae. There are around 325 species in this almost cosmopolitan genus, which are commonly known as heliotropes (sg. ). It is highly toxic for dogs and cats. Et ...
'', 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 Species of ''Indigofera'' are mo ...
'', and ''
Boerhavia ''Boerhavia'' is a genus of over 100 species in the Nyctaginaceae family. The genus was named for Herman Boerhaave, a Dutch botanist, and the genus name is frequently misspelled "''Boerhaavia''". Common names include spiderlings and hogweeds. T ...
''. Native to
Nigeria Nigeria ( ), , ig, Naìjíríyà, yo, Nàìjíríà, pcm, Naijá , ff, Naajeeriya, kcg, Naijeriya officially the Federal Republic of Nigeria, is a country in West Africa. It is situated between the Sahel to the north and the Gulf o ...
, ''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 defined as 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, an ...
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. The brain is the most sensitive. Symptoms may include abdominal pain, constipation, headaches, irritability, memory problems, inferti ...
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 with the symbol Se and atomic number 34. It is a nonmetal (more rarely considered a metalloid) with properties that are intermediate between the elements above and below in the periodic table, sulfur and tellurium, ...
, 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