Open AccessA extremely rare case of cervical intramedullary granuloma due to Brucella accompanied by Chiari Type-1 malformation
Author(s) -
Kadır Tufan,
Fatih Aydemir,
Feyzi Birol Sarıca,
Ebru Kurşun,
Özgür Kardeş,
Melih Çekinmez,
Hakan Caner
Publication year - 2014
Publication title -
asian journal of neurosurgery
Language(s) - English
Resource type - Journals
pISSN - 1793-5482
DOI - 10.4103/1793-5482.142740
Subject(s) - medicine , syringomyelia , foramen magnum , intramedullary rod , brucella , brucellosis , granuloma , chiari malformation , surgery , abscess , spinal cord , radiology , magnetic resonance imaging , pathology , virology , psychiatry
Chiari Type-1 malformation is displacement of the cerebellar tonsils through the foramen magnum into the cervical spine and usually does not exceed the level of C2. It is 50-70% associated with syringomyelia. Nervous system involvement due to brucellosis is called neurobrucellosis, and neurological involvement rate has been reported an average of 3-5%, ranging between 3% and 25% at different series. Intramedullary abscess or granuloma due to Brucella is extremely rare. Hence far, six cases have been reported in the literature and only two of these cases were reported as intramedullary granuloma. This case is presented in order to remind the importance of the cervical cord granuloma which was presented once before in the literature and to emphasize the importance of evaluation of patient history, clinical and radiological findings together in the evaluation of a patient.