Necrotizing meningoencephalitis
Encyclopedia
Necrotizing meningoencephalitis (NME) is an inflammatory disease of the central nervous system
Central nervous system
The central nervous system is the part of the nervous system that integrates the information that it receives from, and coordinates the activity of, all parts of the bodies of bilaterian animals—that is, all multicellular animals except sponges and radially symmetric animals such as jellyfish...

 (CNS) that occurs in young, small breed dog
Dog
The domestic dog is a domesticated form of the gray wolf, a member of the Canidae family of the order Carnivora. The term is used for both feral and pet varieties. The dog may have been the first animal to be domesticated, and has been the most widely kept working, hunting, and companion animal in...

s. Necrotizing meingoencephalitis has been described in numerous small breeds, including the Pug
Pug
The pug is a "toy" breed of dog with a wrinkly, short-muzzled face, and curled tail. The breed has a fine, glossy coat that comes in a variety of colors, and a compact square body with well-developed muscle. They have been described as multum in parvo , referring to the pug's personality and...

, Maltese and Chihuahua
Chihuahua (dog)
The ' is the smallest breed of dog and is so named for the state of Chihuahua in Mexico. Chihuahuas come in a wide variety of sizes, head shapes, colors and coat lengths.-History:...

.

Meningoencephalitis refers to inflammation of the meninges
Meninges
The meninges is the system of membranes which envelopes the central nervous system. The meninges consist of three layers: the dura mater, the arachnoid mater, and the pia mater. The primary function of the meninges and of the cerebrospinal fluid is to protect the central nervous system.-Dura...

 (meningitis
Meningitis
Meningitis is inflammation of the protective membranes covering the brain and spinal cord, known collectively as the meninges. The inflammation may be caused by infection with viruses, bacteria, or other microorganisms, and less commonly by certain drugs...

) and brain
Brain
The brain is the center of the nervous system in all vertebrate and most invertebrate animals—only a few primitive invertebrates such as sponges, jellyfish, sea squirts and starfishes do not have one. It is located in the head, usually close to primary sensory apparatus such as vision, hearing,...

 (encephalitis
Encephalitis
Encephalitis is an acute inflammation of the brain. Encephalitis with meningitis is known as meningoencephalitis. Symptoms include headache, fever, confusion, drowsiness, and fatigue...

). The cause of inflammation in NME is unknown, although many speculate that it is an autoimmune disorder. Necrotizing meningoencephalitis is fatal without aggressive immunosuppressive treatment and is frequently fatal despite immunosuppressive therapy. Since NME can not be definitively diagnosed before death it is difficult to truly determine the prognosis.

Another similar inflammatory CNS disorder of dogs is granulomatous meningoencephalitis
Granulomatous meningoencephalitis
Granulomatous meningoencephalitis is an inflammatory disease of the central nervous system of dogs and, rarely, cats. It is a form of meningoencephalitis. GME is likely second only to encephalitis caused by canine distemper virus as the most common cause of inflammatory disease of the canine...

(GME).
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