The clinical and pathologic features of five young Maltese dogs with a
necrotizing meningoencephalitis were studied and compared with publis
hed reports of the necrotizing meningoencephalitis of Pug dogs. The ag
es of the Maltese dogs ranged from 9 months to 4 years. Four dogs were
male, and one was female. The dogs had a history of seizures with or
without other neurologic signs for 3 days to 20 weeks prior to death.
Cerebrospinal fluid examination in three dogs revealed a pleocytosis a
nd elevated levels of protein. At necropsy, the cerebrum was asymmetri
cally swollen in four dogs, with a loss of distinction between the gra
y and white matter and mild to moderate asymmetrical dilation of the l
ateral ventricles. Histologically, there was extensive necrosis and no
nsuppurative inflammation of the cerebral gray and white matter, overl
ying meninges, and adjacent thalamus and hippocampus. The 4-year-old d
og had the longest duration of clinical signs and had little inflammat
ion but extensive atrophy of affected areas, with astrocytosis. The cl
inical course and pathologic changes in these Maltese dogs are indisti
nguishable from those in reported cases of necrotizing meningoencephal
itis of Pug dogs, indicating that this lesion is probably not unique t
o Pug dogs.