Neurobrucellosis: a partially treatable cause of vision loss.
Involvement of the central nervous system due to brucellosis is rare and has a broad range of clinical manifestations. Reported here is a case of neurobrucellosis in a 13-year-old boy leading to visual impairment and unilateral hearing loss. Cranial magnetic resonance imaging revealed a suprasellar mass with extension to the optic chiasm. This case represents a novel finding of pediatric neurobrucellosis involving the optic chiasm. The patient's visual acuity, but not hearing, improved after initiation of antibiotic therapy.
Tonekaboni
Seyed Hassan
SH
Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences, Mofid Children Hospital, Tehran, Iran.
Karimi
Abdollah
A
Armin
Shahnaz
S
Khase
Ladan Afshar
LA
Sabertehrani
Ali Shabahang
AS
D000293:Adolescent; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001921:Brain / Q000473:pathology; D002006:Brucellosis / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D002494:Central Nervous System Infections / Q000150:complications* / Q000188:drug therapy / Q000473:pathology; D005500:Follow-Up Studies; D005682:Gadolinium; D034381:Hearing Loss / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D009897:Optic Chiasm / Q000473:pathology*; D016896:Treatment Outcome; D014786:Vision Disorders / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology
D000900:Anti-Bacterial Agents; D005682:Gadolinium