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Updated: Sep 26, 2026

Diagnosis and Surgical Treatment of Human Brucellar Spondylodiscitis
Published on: May 23, 2021
Paraplegia associated with brucellosis involving the anterior lumbrosacral nerve roots
Umit Hidir Ulas1, Kemal Hamamcioglu, Erdal Eroglu
1Department of Neurology, Gülhane Medical School, Ankara, Turkey. uhulas@gata.edu.tr
Abstract:
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.
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