Follow-up appointments will be very important and absolutely necessary with a diagnosis of steroid-responsive meningitis-arteritis. Your veterinarian will determine the schedule of the return visits which will depend on how well your furry family member responds to the treatment. The follow-up will mean repeat blood tests and analysis of the CSF until the veterinarian can see that the markers have returned to normal. This could mean appointments every 4 to 6 weeks for several months. It is imperative that you keep the appointments and do not discontinue the medication even though you may think your dog is feeling better. It should be noted that many pets will need a prescription for gastroprotectants; if you see any side effects from the long-term therapy such as blood in the stool or vomiting, or if you are concerned in any way with your pet’s health, contact the clinic without delay. With SRMA there is a potential for relapse, meaning that continued contact with your veterinarian will be recommended.
Our case illustrates that severe acquired demyelinating polyneuropathies are capable of inducing a hand tremor reminiscent of RLS and with a severity unrelated to the extent of proprioceptive loss, consistent with previous observations.  Alternative mechanisms may be responsible for releasing central oscillatory generators in demyelinating neuropathic disorders. Indeed, experimental evidence strongly suggests a role for cerebellar dysfunction in these patients.  Finally, neurofascin immunoglobulin 4 antibodies, absent in our patient, may explain a subset of patients with CIDP and disabling tremor, particularly when the response to IVIG is insufficient.