Head shaking in horses is a complex and often distressing condition characterized by sudden, involuntary movements of the head, frequently accompanied by signs of discomfort or irritation. This condition can have a significant impact on a horse's performan ce and overall quality of life. We utilize advanced diagnostic tools such as r adiographs (x - ray), computed tomography (CT) and endoscopy to determine the underlying causes, which may include hypersensitivity of the trigeminal nerve, dental problems , ear i nfections or t emporohyoid osteoarthropathy . CT imaging provides detailed, cross - sectional views of the horse's head, allowing us to identify issues that may not be visible through standard diagnostic methods, such as dental problems or sinus abnormalities. Our comprehensive approach ensures that each horse receives a precise diagnosis and a tailored treatment plan, aimed at alleviating symptoms and enhancing their wellbeing.