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Pseudotumor--like presentation of neurobrucellosis

A Panagariya1, B Sharma, V Mathew

  • 1Department of Neurology, SMS Medical College & Attached Hospitals, Jaipur.

The Journal of the Association of Physicians of India
|August 19, 2007
PubMed

Insights

Brucellosis, a bacterial zoonosis, can mimic various neurological conditions. This case highlights neurobrucellosis presenting atypically with pseudotumor cerebri-like symptoms and abnormal cerebrospinal fluid, emphasizing its importance in differential diagnoses.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Bacteriology

Background:

  • Brucellosis is a zoonotic bacterial infection with diverse neurological manifestations.
  • Neurobrucellosis, a complication of brucellosis, can present with various neurological syndromes.
  • Meningitis is the most common presentation, but atypical forms exist.

Observation:

  • This report details a case of neurobrucellosis with a pseudotumor cerebri-like presentation.
  • The patient exhibited symptoms mimicking idiopathic intracranial hypertension.
  • Crucially, the cerebrospinal fluid analysis revealed abnormalities, distinguishing it from typical pseudotumor cerebri.

Findings:

  • Neurobrucellosis can present with atypical neurological signs, including pseudotumor cerebri-like features.
  • Abnormal cerebrospinal fluid findings in a pseudotumor cerebri-like presentation should raise suspicion for neurobrucellosis.
  • This case underscores the variability in neurobrucellosis presentation.

Implications:

  • Brucellosis should be considered in the differential diagnosis of neurological disorders, especially in endemic areas.
  • Atypical presentations of neurobrucellosis, like the one described, necessitate thorough diagnostic evaluation.
  • Early diagnosis and treatment of neurobrucellosis are crucial due to its potential for severe neurological sequelae.

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