Pr. Hess et Rk. Sellon, STEROID-RESPONSIVE, CERVICAL, PYOGRANULOMATOUS PACHYMENINGITIS IN A DOG, The Journal of the American Animal Hospital Association, 33(5), 1997, pp. 461-468
Syndromes of steroid-responsive meningitis have been described in the
dog and typically are characterized by neutrophilic pleocytosis and an
elevated protein concentration of the cerebrospinal fluid. In a minor
ity of cases, histopathology has demonstrated suppurative leptomeninge
al (i.e., arachnoid and pia) inflammation. A case of compressive, cerv
ical, pyogranulomatous inflammation of undetermined cause affecting th
e dura mater (i.e., pachymeningitis), accompanied by fever and hyperpa
thia, is presented. The pachymeningitis ultimately regressed with long
-term immunosuppressive therapy. This case shares features with hypert
rophic spinal pachymeningitis of humans, an uncommon, frequently idiop
athic, chronic inflammatory disorder causing dural hypertrophy, radicu
lopathy, and spinal cord compression.