Neurological Disorders in Pug Dogs: a Retrospective Study of 285 Cases (2013 – 2020) from a Single Referral Hospital in the United Kingdom

Pugs are commonly affected by neurological disorders and this retrospective observational study aims to describe what pathologies were more commonly diagnosed, their diagnostic approach and clinical features. This study was performed in a single referral hospital in the United Kingdom (UK). Medical records of pugs referred to the Neurology & Neurosurgery department from 2013 to 2020 were retrieved. Signalment, presenting complaint, presence of pain at neurological examination and diagnostic tests were recorded. Final diagnosis was classified as: encephalopathies, myelopathies or peripheral nervous system (PNS) disease. Descriptive and univariate statistical analysis were performed. A total of 285 records were included in the study. The most common presenting complaints were: ambulatory paraparesis (27.6%), seizures (20.3%), ataxia (16.4%), spinal pain (10.1%) and vestibular signs (5.6%). Myelopathies were diagnosed in 64.7% of pugs, while encephalopathies and PNS disease in 29.7% and 5.3% of pugs respectively. Different types of intervertebral disc diseases (IVDDs; 44.3%), spinal arachnoid diverticulum (SAD; 22.2%) and vertebral malformations (VMs; 18.9%) were the most prevalent myelopathies. Idiopathic epilepsy (IE; 44.7%) and meningoencephalitis of unknown aetiology (MUA; 29.4%) were the most common encephalopathies. Peripheral vestibular syndrome (60%) and masticatory muscle myositis (20%) were the most prevalent PNS diseases. Pugs with IVDDs were more likely to be painful than pugs diagnosed with SAD and VMs. In this study, IVDDs, SAD and VMs were the most represented myelopathies, while IE and MUA the most prevalent encephalopathies. SAD and VMs were found to be non-painful myelopathies, as opposed to IVDDs being painful. These results may be used as a guide reflecting the prevalence of neurological diseases in a larger population of pugs.