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[Refractory epilepsy as the presenting symptom of a brucellar brain abscess]

R Carrasco-Moro1, E García-Navarrete, M Pedrosa-Sánchez

  • 1Servicio de Neurocirugía, Hospital Universitario de la Princesa, 28006 Madrid, España. rocamo@gmail.com

Revista De Neurologia
|December 13, 2006
PubMed
Abstract

Insights

Brucellosis can cause rare brain abscesses, leading to epilepsy. Early diagnosis and treatment, including surgery and antibiotics, can resolve these neurological complications.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Neurosurgery

Background:

  • Brucellosis is a zoonotic disease with potential for rare central nervous system complications.
  • Intracranial brucellar abscesses are infrequent but significant neurological manifestations.

Observation:

  • A 54-year-old male presented with refractory epilepsy and a temporal lobe lesion.
  • Neuroimaging revealed an expansive lesion later confirmed as a chronic brucellar abscess.

Findings:

  • Complete surgical resection and antimicrobial therapy led to seizure freedom at one-year follow-up.
  • Diagnosis required serological, histopathological, and microbiological evidence.

Implications:

  • Brucella infection should be considered in the differential diagnosis of intracranial expansive lesions and epileptic seizures.
  • Awareness of diverse clinical and radiological presentations is crucial for diagnosis.
  • Identifying patient risk factors aids in diagnosing neurobrucellosis.

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