First of all yes it is obvious neglect. Even if the horse was like that when they "rescued" it, no one that rescues in their right mind would leave knowing the horse was in that condition. At the very least they would rush home. They obviously had no plan for putting weight on this horse from what you tell me they were feeding him. Horses can have strokes I beleive but I find it more likely that his kidneys were failing from lack of food and water. A vet will sometimes report it but I wouldn't rely on that. Call the police, your local aspca or shelter and report it yourself.
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