title: Paraplegia associated with brucellosis involving the anterior lumbrosacral nerve roots.
abstract: 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.
authors.affiliation: Department of Neurology, Gülhane Medical School, Ankara, Turkey. uhulas@gata.edu.tr
authors.forename: Umit Hidir
authors.initials: UH
authors.lastname: Ulas
authors.forename: Kemal
authors.initials: K
authors.lastname: Hamamcioglu
authors.forename: Erdal
authors.initials: E
authors.lastname: Eroglu
authors.forename: Zeki
authors.initials: Z
authors.lastname: Odabasi
authors.forename: Ece
authors.initials: E
authors.lastname: Alanoglu
authors.forename: Seref
authors.initials: S
authors.lastname: Demirkaya
authors.forename: Levent
authors.initials: L
authors.lastname: Gorenek
authors.forename: Okay
authors.initials: O
authors.lastname: Vural
mesh_terms: 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*