Paraplegia associated with brucellosis involving the anterior lumbrosacral nerve roots


Ulas U. H., Hamamcioglu K., EROĞLU E., ODABAŞI Z., Alanoglu E., DEMİRKAYA Ş., ...Daha Fazla

Journal of the Peripheral Nervous System, cilt.8, sa.1, ss.8-12, 2003 (SCI-Expanded, Scopus)

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 8 Sayı: 1
  • Basım Tarihi: 2003
  • Doi Numarası: 10.1046/j.1529-8027.2003.03002.x
  • Dergi Adı: Journal of the Peripheral Nervous System
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.8-12
  • Anahtar Kelimeler: Neurobrucellosis, Paraplegia, Ventral root enhancement
  • Sağlık Bilimleri Üniversitesi Adresli: Evet

Özet

We report the case of a 21-year-old man with paraplegia due to brucellosis involvement of lumbosacral anterior roots. Lumbosacral magnetic resonance imaging showed contrast enhancement of anterior roots and the anterior part of duramater. Conduction block was found at the level of the lumbosacral anterior roots by electrophysiological studies, including magnetic stimulation study. Wright agglutination, Rose Bengal tests and bacterial culture obtained from cerebrospinal fluid confirmed the diagnosis of neurobrucellosis. Oral administration of ceftriaxon with additional rifampin was effective, and after 3 months of treatment, laboratory data resolved and clinical signs partially improved.