Lumbar Spinal Root Compression Caused by Brucella Granuloma

Özerbil, Önder Murat; Ural, Onur; Topatan, H. I.; Erongun, Uğur

doi:10.1097/00007632-199802150-00017

Cited by 18 publications

(12 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…There were also some cases of polyradiculopathy due to the Brucella microorganism [5, 6, 16,18,19,20,21,22,23,24] in the Medline database. However, peripheral neuropathy was not evaluated specifically in patient groups with brucellosis.…”

Section: Discussionmentioning

confidence: 99%

Brucella: A Cause of Peripheral Neuropathy

et al. 2008

View full text Add to dashboard Cite

Brucellosis is a common infectious disease in Mediterranean countries. We evaluated the peripheral nerve involvement in patients with brucellosis. Thirty-eight patients with brucellosis were examined. Four of them were excluded because of B₁₂ deficiency and diabetes mellitus. Thirty-four patients were included. The average age was 43.08 ± 15.3 years. Patients were divided into two groups according to the abnormality in their peripheral nervous system (PNS) examination. All patients underwent nerve conduction and needle electromyography EMG studies. Twenty normal healthy subjects were used as a control group. Axonal sensorimotor neuropathy was determined in 12 patients who also had abnormality in PNS examination. After 6 months of treatment, nerve conduction studies were nearly normal in these patients. The EMG findings of the remaining 22 patients were normal, as well as the clinical examination. However, the motor conduction velocities of median (p < 0.001), peroneal (p < 0.001), and ulnar (p < 0.05) nerves were decreased, F wave latencies were prolonged in the posterior tibial and peroneal nerve, and distal latency was also prolonged in the posterior tibial nerve (p < 0.05) when compared to healthy subjects. Sensory conduction velocities of the median (p < 0.001), ulnar and sural (p < 0.05) nerve were also decreased. Brucellosis may be considered as a cause of clinical or subclinical peripheral neuropathy and should be evaluated especially in endemic areas.

show abstract

Section: Discussionmentioning

confidence: 99%

Brucella: A Cause of Peripheral Neuropathy

et al. 2008

View full text Add to dashboard Cite

show abstract

“…Myelopathy or radiculopathy may be caused by irritation or compression of the or nerve roots by tiny extradural abscess in brucellosis. Extradural granuloma formation is not usual in brucella spondylitis, particularly in the thoracic spine [14][15][16][17].…”

Section: Granulomatous Spinal Epidural Infectionsmentioning

confidence: 99%

Spinal infections

Tali

G�ltekin

2004

Eur Radiol

View full text Add to dashboard Cite

Spinal infections have an increasing prevalence among the general population. Definitive diagnosis based solely on clinical grounds is usually not possible and radiological imaging is used in almost all patients. The primary aim of the authors is to present an overview of spinal infections located in epidural, intradural and intramedullary compartments and to provide diagnostic clues regarding different imaging modalities, particularly MRI, to the practicing physicians and radiologists.

show abstract

“…Nerve root compression due to spondylitis or extradural granuloma is uncommon but known in the lumbar region. [12][13][14]20) Myelopathy may also occur as a result of cord compression caused by extradural granuloma in the cervical and thoracic regions. 2,3,5,7,10,15,16,18) Previous cases of extradural spinal cord compression caused by brucellosis also occurred in the cervical (11 cases) and thoracic (7 cases) regions (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Spinal Epidural Abscess Caused by Brucellosis-Two Case Reports-

Ateş

Çaylı

Koçak

et al. 2005

Neurol. Med. Chir.(Tokyo)

View full text Add to dashboard Cite

Brucellosis is still an important public health problem in the Mediterranean countries, including Turkey, and is most probably underdiagnosed or underreported. Two rare cases of extradural brucellar granuloma causing spinal cord compression in the thoracic and cervical regions were identified by magnetic resonance imaging. The abscesses were totally excised surgically. Medical treatment was given immediately after diagnosis, but delayed neurosurgical intervention resulted in partial neurological recovery in one patient although the other showed complete neurological recovery. Abscess formation may cause myelopathy due to extradural compression of the spinal cord. Failure to correct this condition may cause irreversible impairment of motor functions. Magnetic resonance imaging should be performed periodically in patients with brucellosis and suspected vertebral involvement to monitor for epidural granuloma formation and prevent extradural cord compression.

show abstract

Lumbar Spinal Root Compression Caused by Brucella Granuloma

Abstract: The possibility of extradural compression caused by brucellosis should be considered in endemic areas and must be differentiated from an intervertebral disc herniation by means of agglutination testing and bone scan.

Cited by 18 publications

References 8 publications

Brucella: A Cause of Peripheral Neuropathy

Brucella: A Cause of Peripheral Neuropathy

Spinal infections

Spinal Epidural Abscess Caused by Brucellosis-Two Case Reports-

Contact Info

Product

Resources

About