A rare cause of "foot drop": spinal epidural brucella granuloma.
Spinal epidural abscess is rare but serious medical condition which may cause permanent neurological deficits, or even death, if not treated. Staphylococcus aureus is the responsible microorganism in most spinal abscess cases. However, rarely other microorganisms like Brucella may be responsible. Brucellosis, a zoonotic infection endemic in the Mediterranean Region, Middle East; and South and Central America, most frequently involves the reticuloendothelial and musculoskeletal systems. Vertebral involvement is rarely seen; and its differential diagnosis is rather difficult. Spondylodiscitis and rarely spinal abscess or development of a granuloma are the main pathologies. Spinal epidural granulomas due to brucellosis may cause neurologic deficits. In this case presentation, a spinal epidural brucella granuloma causing foot drop is discussed taking other reports into account.
S.B. Ankara Etlik Ihtisas Hospital, Neurosurgery Department, Ankara, Turkey.
Fatih
F
Kökeş
Ahmet
A
Aciduman
Ahmet
A
Günaydin
Sami
S
Kinikli
D002006:Brucellosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D020802:Epidural Abscess / Q000150:complications* / Q000473:pathology / Q000601:surgery; D005260:Female; D005534:Foot Diseases / Q000209:etiology* / Q000601:surgery; D006099:Granuloma / Q000150:complications / Q000473:pathology / Q000601:surgery; D006801:Humans; D007796:Laminectomy; D017116:Low Back Pain / Q000209:etiology; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D009468:Neuromuscular Diseases / Q000209:etiology*; D019635:Neurosurgical Procedures; D010146:Pain / Q000209:etiology