Deutschland M, Boettcher I, Höltje M, Prüss H
Neurology Referral Service, Berlin, Germany.
Department of Small Animal Medicine, University Leipzig, Leipzig, Germany.
Front Vet Sci. 2024 Sep 30;11:1398694. doi: 10.3389/fvets.2024.1398694. eCollection 2024.
A 6-year-old female spayed Podenco-crossbreed dog was presented with an unusual type of focal impaired awareness seizures, including sensory ataxia and postictal rest. Magnetic resonance imaging examination revealed pre- and post-contrast agent T1-weighted bilateral symmetric hyperintensities in the lentiform nuclei and globus pallidus. Repeated cerebrospinal fluid sampling showed lymphocytic pleocytosis. Cerebrospinal fluid immunoglobulin G autoantibodies to myelin basic protein (MBP) were detected by immunofluorescence examination with strong binding to myelinated fiber tracts. The absence of binding to MBP-depleted mouse brains confirmed MBP as an antigenic target. Although the patient had minor seizure episodes every 2 months, and the owners avoided seizure triggers, they refused medical treatment before presenting to the veterinarian. To the best of our knowledge, this is the first description of MBP autoantibody-positive encephalitis in a dog.
一只6岁已绝育的杂交波登可犬出现了一种不寻常的局灶性意识障碍性癫痫发作,包括感觉性共济失调和发作后静息状态。磁共振成像检查显示,在使用造影剂前后,豆状核和苍白球在T1加权像上呈双侧对称性高信号。反复进行脑脊液采样显示淋巴细胞增多。通过免疫荧光检查检测到脑脊液中针对髓鞘碱性蛋白(MBP)的免疫球蛋白G自身抗体,该抗体与有髓纤维束有强烈结合。未与去除MBP的小鼠脑结合证实MBP为抗原靶点。尽管该患者每2个月有轻微癫痫发作,且主人避免癫痫发作诱因,但在带至兽医处就诊前他们拒绝接受治疗。据我们所知,这是犬类中MBP自身抗体阳性脑炎的首次描述。