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182 例来自中欧的不明原因脑膜脑炎的犬只接受糖皮质激素单药治疗的临床症状、诊断结果和长期生存时间。

Clinical Presentation, Diagnostic Findings, and Long-term Survival Time in 182 Dogs With Meningoencephalitis of Unknown Origin From Central Europe That Were Administered Glucocorticosteroid Monotherapy.

机构信息

Jaggy Referral Veterinary Clinic, 5 Komarovska St. Brno, 60200 Czech Republic.

Jaggy Referral Veterinary Clinic, 5 Komarovska St. Brno, 60200 Czech Republic.

出版信息

Top Companion Anim Med. 2021 Aug;44:100539. doi: 10.1016/j.tcam.2021.100539. Epub 2021 May 5.

Abstract

Canine non-infectious inflammatory meningoencephalomyelitis is termed meningoencephalomyelitis of unknown origin (MUO) and may affect dogs of every breed at any age. Treatment with immunosuppressive medication, the survival time based on MRI, and cerebrospinal fluid (CSF) findings has been widely reported; however, these studies only included a small number of patients, or they are summaries from the literature. Therefore, the aim of this study was to compare the clinical presentation, diagnostic findings, treatment protocol and long-term survival time in many dogs diagnosed with MUO in one clinic with previously published studies. One hundred eighty-two dogs met the inclusion criteria. Age, sex, duration of clinical signs before diagnosis, presence of neurological signs, MRI and CSF analysis were similar to those in previous reports. Our study revealed that dogs with a brainstem lesion have a 60% lower chance of death before 1 year than dogs with multifocal brain lesions. A total of 55.56% of treated dogs survived for more than 1 year, and 10.55% survived for more than 5 years since diagnosis. The median survival time for all dogs was 540 days. Our findings support glucocorticosteroid monotherapy as a viable treatment option for dogs with MUO.

摘要

犬非传染性炎症性脑膜脑炎被称为不明原因的脑膜脑炎(MUO),可影响任何品种、任何年龄的犬。免疫抑制药物治疗、基于 MRI 的存活时间和脑脊液(CSF)检查结果已被广泛报道;然而,这些研究仅包括少数患者,或者是从文献中总结的。因此,本研究旨在比较一家诊所中诊断为 MUO 的许多犬的临床表现、诊断结果、治疗方案和长期存活时间与之前发表的研究。182 只犬符合纳入标准。年龄、性别、诊断前临床症状持续时间、神经系统症状、MRI 和 CSF 分析与之前的报告相似。我们的研究表明,脑干病变的犬在 1 年内死亡的几率比多灶性脑病变的犬低 60%。接受治疗的犬中有 55.56%存活时间超过 1 年,10.55%自诊断以来存活时间超过 5 年。所有犬的中位存活时间为 540 天。我们的研究结果支持糖皮质激素单药治疗作为 MUO 犬的一种可行治疗选择。

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