Early Clinical Signs of ELEM: Equine Leukoencephalomalacia (moldy corn poisoning) is a fatal neurotoxic disease caused by fumonisin $B_1$ produced by Fusarium verticillioides in corn.
Consistent Initial Manifestation: Characterized initially by subtle cranial nerve dysfunction, profound depression, and delayed retraction of the tongue (lingual paralysis/hypotonia). This rapidly progresses to head pressing, hyperexcitability, blindness, and bilateral liquefactive necrosis of cerebral white matter.
Correct option: (1) Delayed retraction of the tongue
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