26.有關巴哥狗腦膜腦炎（Pug meningoencephalitis）之敘述，下列何項最為正確？
(A)本病好發於老年犬隻
(B)本病為細菌性疾病
(C)本病可用類固醇獲得良好控制
(D)本病急性型臨床症狀為痙攣、頸部僵硬疼痛、共濟失調和大腦皮質性失明

書單可以參考小內聖經 Textbook of Veterinary Internal Medicine, 8th Edition, page 3388-3389.

Topic 是 Necrotizing Encephalitis (NE)，底下節錄原文書內容+挑重點翻

NE tends to occur in young, small-breed dogs, but a wide age range has been reported. 

Pug and Maltese dogs with NME (Necrotizing meningoencephalitis) have varying ages at presentation—between 6 months and 7 years.  

八哥狗腦膜腦炎算是舊名，基本上小型犬都會發生，並正名為壞死性腦炎，且有壞死性腦膜腦炎及 necrotizing leukoencephalitis (壞死性白質腦炎?)兩種亞群

發病年齡通常較輕，約6月齡至7歲，但看年齡不準

The onset and progression of clinical signs of neurologic dysfunction may be acute (disease course of 2 weeks or less) or chronic (disease course of 4 to 6 months). 

Clinical signs of forebrain dysfunction (seizures, circling, obtunded mental status, visual deficits with normal pupillary light reflexes, head-pressing, etc.) predominate.  

跟(D)選項的描述差不多 (沒有完全一樣就是

As with GME, these are suspected to be autoimmune disorders. 

NE跟肉芽腫性腦膜腦炎一樣都是自體免疫性疾病 (((小內聖經這樣寫的喔

Treatment of suspected NE patients with glucocorticoids and anticonvulsant drugs (if seizures are occurring) should be attempted but often has little to no appreciable clinical effect. 

類固醇跟抗痙攣藥可以試試看，但通常沒什麼用

看字太無聊來看圖