Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome

This retrospective study aimed to assess the accuracy of neurological examination in identifying intracranial extension of ear infection in dogs and to investigate the clinical data that may potentially aid in its diagnosis and prognosis. Dogs diagnosed with meningitis or meningoencephalitis due to...

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Main Authors: Meritxell Moral, Carlos Blanco, Valentina Lorenzo
Format: Article
Language:English
Published: MDPI AG 2025-05-01
Series:Veterinary Sciences
Subjects:
Online Access:https://www.mdpi.com/2306-7381/12/5/456
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author Meritxell Moral
Carlos Blanco
Valentina Lorenzo
author_facet Meritxell Moral
Carlos Blanco
Valentina Lorenzo
author_sort Meritxell Moral
collection DOAJ
description This retrospective study aimed to assess the accuracy of neurological examination in identifying intracranial extension of ear infection in dogs and to investigate the clinical data that may potentially aid in its diagnosis and prognosis. Dogs diagnosed with meningitis or meningoencephalitis due to an intracranial extension of otitis media-interna were included, and the relationship of MRI findings with neurological examination, clinical data, and outcome was studied. Thirty dogs were included, with 96% corresponding to brachycephalic breeds and a mean age of 7.5 years. The neurological examination was accurate in localizing the lesion in the central nervous system in 33% of dogs. Dogs with brainstem parenchymal involvement in magnetic resonance imaging (MRI) had a longer recovery (21 days). Recovery was complete in 28% of cases, with dogs more likely to have persistent neurological deficits when parenchymal and/or meningeal involvement was observed on imaging. MRI did not show intracranial extension in 20% of cases despite inflammatory cerebrospinal fluid (CSF). This study supports the conclusion that intracranial extension of otogenic infection is possible in dogs without central nervous system signs. When otitis media-interna is diagnosed, MRI and CSF studies should be recommended, especially for chronic or recurrent cases and in brachycephalic breeds.
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spelling doaj-art-416b63f84b46478c9486dd87fba2cbd92025-08-20T02:33:51ZengMDPI AGVeterinary Sciences2306-73812025-05-0112545610.3390/vetsci12050456Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and OutcomeMeritxell Moral0Carlos Blanco1Valentina Lorenzo2Clínica Neurología Veterinaria, C/Diseño, 26, 28906 Getafe, Madrid, SpainClínica Neurología Veterinaria, C/Diseño, 26, 28906 Getafe, Madrid, SpainClínica Neurología Veterinaria, C/Diseño, 26, 28906 Getafe, Madrid, SpainThis retrospective study aimed to assess the accuracy of neurological examination in identifying intracranial extension of ear infection in dogs and to investigate the clinical data that may potentially aid in its diagnosis and prognosis. Dogs diagnosed with meningitis or meningoencephalitis due to an intracranial extension of otitis media-interna were included, and the relationship of MRI findings with neurological examination, clinical data, and outcome was studied. Thirty dogs were included, with 96% corresponding to brachycephalic breeds and a mean age of 7.5 years. The neurological examination was accurate in localizing the lesion in the central nervous system in 33% of dogs. Dogs with brainstem parenchymal involvement in magnetic resonance imaging (MRI) had a longer recovery (21 days). Recovery was complete in 28% of cases, with dogs more likely to have persistent neurological deficits when parenchymal and/or meningeal involvement was observed on imaging. MRI did not show intracranial extension in 20% of cases despite inflammatory cerebrospinal fluid (CSF). This study supports the conclusion that intracranial extension of otogenic infection is possible in dogs without central nervous system signs. When otitis media-interna is diagnosed, MRI and CSF studies should be recommended, especially for chronic or recurrent cases and in brachycephalic breeds.https://www.mdpi.com/2306-7381/12/5/456otitis media-internabacterial meningoencephalitismagnetic resonance imagingCSFneurologydog
spellingShingle Meritxell Moral
Carlos Blanco
Valentina Lorenzo
Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
Veterinary Sciences
otitis media-interna
bacterial meningoencephalitis
magnetic resonance imaging
CSF
neurology
dog
title Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
title_full Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
title_fullStr Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
title_full_unstemmed Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
title_short Otogenic Meningitis or Meningoencephalitis in 30 Dogs: Association Between Neurological Signs, Magnetic Resonance Imaging Findings, and Outcome
title_sort otogenic meningitis or meningoencephalitis in 30 dogs association between neurological signs magnetic resonance imaging findings and outcome
topic otitis media-interna
bacterial meningoencephalitis
magnetic resonance imaging
CSF
neurology
dog
url https://www.mdpi.com/2306-7381/12/5/456
work_keys_str_mv AT meritxellmoral otogenicmeningitisormeningoencephalitisin30dogsassociationbetweenneurologicalsignsmagneticresonanceimagingfindingsandoutcome
AT carlosblanco otogenicmeningitisormeningoencephalitisin30dogsassociationbetweenneurologicalsignsmagneticresonanceimagingfindingsandoutcome
AT valentinalorenzo otogenicmeningitisormeningoencephalitisin30dogsassociationbetweenneurologicalsignsmagneticresonanceimagingfindingsandoutcome