Atypical myopathy (AM), also known as sycamore poisoning or seasonal pasture myopathy, remains one of the most serious threats to grazing horses across the UK. With mortality rates between 56-61% according to the latest British Horse Society data, understanding this condition could save your horse’s life.
What Is Atypical Myopathy?
Atypical myopathy is a severe muscle disorder caused by horses ingesting parts of the sycamore tree (Acer pseudoplatanus). The toxin hypoglycin A, found in sycamore seeds, leaves, and seedlings, disrupts the horse’s ability to metabolise fats for energy, leading to potentially fatal muscle damage.
The Royal Veterinary College’s updated 2024 fact file confirms that this condition continues to pose a significant risk to horses throughout the UK, particularly during autumn and spring months.
When Does Atypical Myopathy Occur?
Peak Risk Periods:
- Autumn (September-November): When sycamore seeds fall and accumulate on pastures
- Spring (March-May): When sycamore seedlings emerge and grow
Most cases occur during these seasonal transitions when horses may consume fallen seeds or young seedlings whilst grazing, particularly when grass is scarce.
Critical Warning Signs
Recognising the symptoms early is crucial for your horse’s survival. The most consistent warning signs include:
Primary Symptoms:
- Dark-coloured urine (brown, red, or cola-coloured) – the most reliable indicator
- Muscle stiffness and soreness
- Muscle trembling or fasciculations
- Sweating, even when at rest
- Reluctance to move or exercise
Secondary Symptoms:
- Difficulty walking or standing
- Lethargy and depression
- Colic-like symptoms
- Increased heart rate
- Laboured breathing
- Loss of appetite
- Lying down frequently
Important: If you notice any of these symptoms, contact your veterinarian immediately. Time is critical with atypical myopathy.
Emergency Treatment Protocol
Immediate Actions:
- Call your vet immediately – this is a veterinary emergency
- Remove the horse from the affected pasture
- Move to a clean, well-bedded stable
- Remove other horses from the same field
- Do not exercise the horse – keep movement to an absolute minimum
Veterinary Treatment:
Professional treatment typically involves:
- Intensive fluid therapy to protect kidney function
- Hospitalisation for close monitoring
- Supportive care including pain management
- Nutritional support during recovery
The prognosis depends largely on how quickly treatment begins and the amount of toxin consumed.
Prevention Strategies
Prevention remains the most effective approach to protecting your horses from atypical myopathy.
Pasture Management:
- Identify sycamore trees on or near your property
- Fence off areas around sycamore trees
- Regular field inspections for fallen seeds and seedlings
- Remove seeds and seedlings when found
- Provide adequate forage to reduce grazing pressure
Seasonal Precautions:
- Autumn: Check fields daily for fallen sycamore seeds
- Spring: Monitor for emerging seedlings
- Windy weather: Inspect fields after storms when seeds may blow in from neighbouring properties
Alternative Management:
- Consider stable management during high-risk periods
- Provide adequate hay or haylage to reduce reliance on grazing
- Rotate pastures away from areas with sycamore trees
Risk Factors
Certain conditions increase the likelihood of atypical myopathy:
- Poor pasture quality or overgrazed fields
- Young horses (though all ages can be affected)
- Horses with limited supplementary feeding
- Fields adjacent to woodland containing sycamore trees
- Windy conditions that spread seeds
Tree Identification
Sycamore Tree (Acer pseudoplatanus) Features:
- Large, broad leaves with five lobes
- Distinctive “helicopter” seeds (samaras)
- Smooth, grey bark when young
- Can grow up to 35 metres tall
- Common throughout the UK
Note: Only the sycamore maple (Acer pseudoplatanus) is toxic to horses. The American sycamore (Platanus occidentalis) is not dangerous, making correct identification crucial.
Recovery and Long-term Care
Horses that survive atypical myopathy may require:
- Extended rest periods
- Gradual return to exercise
- Ongoing veterinary monitoring
- Nutritional support
- Regular blood tests to monitor muscle enzymes
Some horses make full recoveries, whilst others may have lasting muscle damage affecting their athletic performance.
Latest Research and Statistics
According to 2024 data from leading veterinary institutions:
- Mortality rates remain consistently high at 56-61%
- Early intervention significantly improves survival chances
- Cases continue to cluster during traditional risk seasons
- Multiple horses in the same field are often affected simultaneously
Key Takeaways
Atypical myopathy remains a serious threat to UK horses, but it is entirely preventable through proper pasture management and awareness. The key points to remember:
- Prevention is better than cure – remove access to sycamore trees
- Know the symptoms – dark urine is the most reliable warning sign
- Act fast – immediate veterinary attention is essential
- Seasonal awareness – be extra vigilant in autumn and spring
- Adequate nutrition – ensure horses have sufficient alternative forage
By staying informed and taking proactive steps, you can protect your horses from this devastating condition. Regular field inspections, proper tree identification, and maintaining good pasture management practices are your best defences against atypical myopathy.





























