Brain Atrophy in Dogs With Meningoencephalitis of Unknown Origin



Gonçalves, R ORCID: 0000-0001-5420-9801, Walmsley, G ORCID: 0009-0000-0727-8265 and Maddox, TW
(2025) Brain Atrophy in Dogs With Meningoencephalitis of Unknown Origin Journal of Veterinary Internal Medicine, 39 (4). e70095-. ISSN 0891-6640, 1939-1676

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Abstract

Background: Information regarding repeat magnetic resonance imaging (MRI) findings in dogs with meningoencephalitis of unknown origin (MUO) is sparse and it is unknown whether brain atrophy occurs. Objectives: To determine whether brain atrophy occurs in MUO and evaluate if there is an association between atrophy and survival or relapse. Animals: Twenty-three dogs diagnosed with MUO that underwent MRI of the brain on two occasions at least six months apart. Methods: Retrospective study. Interthalamic adhesion thickness to brain height ratio (ITr), lateral ventricle to brain height ratio (LVr), interthalamic adhesion thickness/brain height to lateral ventricle/brain height (ITr/LVr), bicaudate ratio (BCR) and total parenchymal brain volume (TPBV) were measured on both MRI studies and compared. Results: Thirteen dogs relapsed and four died during the study period. Median time between MRIs was 12 months, and only one imaging study (1/23) was considered normal on the second scan. All MRI variables measured significantly changed between imaging studies, but only higher TPBV was associated with increased survival (OR = 1.59, CI = 1.006–2.51, p = 0.047); no variables were found to be associated with relapse. New lesions were identified in six dogs (four of which also showed contrast enhancing lesions), with 5/6 of these dogs subsequently relapsing. Conclusions and Clinical Importance: Brain atrophy likely occurs in dogs with MUO and is associated with worse outcomes. Clinical relapse might be likely in dogs with new or contrast-enhancing lesions on repeat MRI, so more aggressive treatment should be considered in these dogs.

Item Type: Article
Uncontrolled Keywords: Brain, Animals, Dogs, Meningoencephalitis, Dog Diseases, Atrophy, Recurrence, Magnetic Resonance Imaging, Retrospective Studies, Female, Male
Divisions: Faculty of Health & Life Sciences
Faculty of Health & Life Sciences > Inst. Life Courses & Medical Sciences
Faculty of Health & Life Sciences > Inst. Infection, Vet & Ecological Sciences
Depositing User: Symplectic Admin
Date Deposited: 09 Jul 2025 09:55
Last Modified: 22 Jan 2026 04:11
DOI: 10.1111/jvim.70095
Open Access URL: https://doi.org/10.1111/jvim.70095
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URI: https://livrepository.liverpool.ac.uk/id/eprint/3193648
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