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Paraplegia associated with brucellosis involving the anterior lumbrosacral nerve roots
Author(s) -
Hidir Ulas Umit,
Hamamcioglu Kemal,
Eroglu Erdal,
Odabasi Zeki,
Alanoglu Ece,
Demirkaya Seref,
Gorenek Levent,
Vural Okay
Publication year - 2003
Publication title -
journal of the peripheral nervous system
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1
H-Index - 67
eISSN - 1529-8027
pISSN - 1085-9489
DOI - 10.1046/j.1529-8027.2003.03002.x
Subject(s) - lumbosacral joint , medicine , paraplegia , anterior horn , magnetic resonance imaging , brucellosis , anesthesia , spinal cord , surgery , radiology , veterinary medicine , psychiatry
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.