Thoracolumbar meningeal fibrosis in pugs

J Vet Intern Med. 2020 Mar;34(2):797-807. doi: 10.1111/jvim.15716. Epub 2020 Jan 31.

Abstract

Background: Thoracolumbar myelopathies associated with spinal cord and vertebral column lesions, with a similar clinical phenotype, but different underlying etiologies, occur in pugs.

Objectives: To further characterize the clinical and neuropathological characteristics of pugs with longstanding thoracolumbar myelopathy.

Animals: Thirty client-owned pure-bred pugs with a history of more than a month of ataxia and paresis of the pelvic limbs, suggesting a myelopathy localized to the thoracolumbar spinal cord, were included in the study.

Methods: Prospective clinicopathological study. Included pugs underwent a complete neurological examination and gross and histopathologic postmortem studies with focus on the spinal cord. Computed tomography (n = 18), magnetic resonance imaging (n = 17), and cerebrospinal fluid analysis (n = 27) were performed before or immediately after death.

Results: Twenty male and 10 female pugs had a median age at clinical onset of 84 months (interquartile range, 66-96). Affected pugs presented with a progressive clinical course and 80% were incontinent. There was circumferential meningeal fibrosis with concomitant focal, malacic, destruction of the neuroparenchyma in the thoracolumbar spinal cord in 24/30 pugs. Vertebral lesions accompanied the focal spinal cord lesion, and there was lympho-histiocytic inflammation associated or not to the parenchymal lesion in 43% of the pugs.

Conclusions and clinical importance: Meningeal fibrosis with associated focal spinal cord destruction and neighboring vertebral column lesions were common findings in pugs with long-standing thoracolumbar myelopathy.

Keywords: ataxia; meninges; spinal cord.

MeSH terms

  • Animals
  • Dog Diseases / cerebrospinal fluid
  • Dog Diseases / diagnosis*
  • Dog Diseases / diagnostic imaging
  • Dogs
  • Female
  • Fibrosis / diagnosis
  • Fibrosis / veterinary*
  • Magnetic Resonance Imaging / veterinary
  • Male
  • Neurologic Examination / veterinary
  • Pedigree
  • Prospective Studies
  • Spinal Cord Compression / diagnosis
  • Spinal Cord Compression / veterinary*
  • Thoracic Vertebrae*
  • Tomography, X-Ray Computed / veterinary