title: Clinicopathologic and magnetic resonance imaging characteristics associated with polioencephalomyelopathy in a Shih Tzu.
abstract: METHODS
  A 17-month-old 7-kg (15.4-lb) Shih Tzu was evaluated because of progressive thoracic limb weakness of 3 months' duration.
  
  
  RESULTS
  Neuroanatomic diagnosis was consistent with a lesion affecting the cervicothoracic (C6 through T2) spinal cord segments. Electrophysiologic testing revealed abnormal spontaneous activity in the thoracic limbs. Via magnetic resonance (MR) imaging, a lesion in the spinal cord that extended from the C5 through C7 vertebrae was detected, as were symmetric lesions in the cranial portion of the cervical spinal cord, caudal colliculi, and vestibular and cerebellar nuclei. Tests to detect metabolites indicative of inborn errors in metabolism revealed no abnormalities.
  
  
  RESULTS
  Prior to undergoing MR imaging, the dog received clindamycin (14 mg/kg [6.4 mg/lb], PO, q 12 h), trimethoprim-sulfadiazine (17 mg/kg [7.7 mg/lb], PO, q 12 h), and prednisone (1 mg/kg [0.45 mg/lb], PO, q 24 h). Because of its deteriorating condition, the dog was euthanized. During necropsy, gross lesions were identified in the cervical spinal cord, caudal colliculi, and vestibular and cerebellar nuclei (corresponding to lesions detected via MR imaging). Microscopic evaluation of the brain and spinal cord revealed polioencephalomyelopathy; there was severe spongiosis of the neuropil with reactive astrocytes (many with high numbers of swollen mitochondria) and preservation of large neurons.
  
  
  CONCLUSIONS
  The form of polioencephalomyelopathy in the Shih Tzu of this report was similar to that described for Australian Cattle dogs; the similarity of findings in dogs with those in humans with Leigh disease is suggestive of a mitochondrial defect.
authors.affiliation: Department of Small Animal Medicine and Surgery, College of Veterinary Medicine, University of Georgia, Athens, GA 30602, USA.
authors.forename: Marc
authors.initials: M
authors.lastname: Kent
authors.forename: Simon R
authors.initials: SR
authors.lastname: Platt
authors.forename: Raquel R
authors.initials: RR
authors.lastname: Rech
authors.forename: Dharshan
authors.initials: D
authors.lastname: Neravanda
authors.forename: Elizabeth W
authors.initials: EW
authors.lastname: Uhl
authors.forename: Scott J
authors.initials: SJ
authors.lastname: Schatzberg
mesh_terms: D000818:Animals; D001921:Brain / Q000473:pathology; D002493:Central Nervous System Diseases / Q000662:veterinary*; D004283:Dog Diseases / Q000473:pathology*; D004285:Dogs; D008279:Magnetic Resonance Imaging / Q000662:veterinary*; D013116:Spinal Cord / Q000473:pathology