Paraplegia associated with brucellosis involving the anterior lumbrosacral nerve roots.
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.
Ulas
Umit Hidir
UH
Department of Neurology, Gülhane Medical School, Ankara, Turkey. uhulas@gata.edu.tr
Hamamcioglu
Kemal
K
Eroglu
Erdal
E
Odabasi
Zeki
Z
Alanoglu
Ece
E
Demirkaya
Seref
S
Gorenek
Levent
L
Vural
Okay
O
D000328:Adult; D002006:Brucellosis / Q000097:blood / Q000134:cerebrospinal fluid; D006801:Humans; D008161:Lumbosacral Region / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology*; D008279:Magnetic Resonance Imaging / Q000379:methods; D008297:Male; D010264:Paraplegia / Q000175:diagnosis* / Q000382:microbiology* / Q000503:physiopathology; D013126:Spinal Nerve Roots / Q000382:microbiology / Q000473:pathology / Q000503:physiopathology*