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Spinal Cord: Cross-sectional Anatomy01:16

Spinal Cord: Cross-sectional Anatomy

The cross-sectional anatomy of the spinal cord offers a detailed view of its complex structure and function within the central nervous system. At the core of the spinal cord lies the gray matter, characterized by its butterfly or "H"-shaped appearance in cross-section. This central region is enveloped by white matter, with the overall structure divided into symmetrical halves by the dorsal median sulcus and the ventral median fissure.
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Related Experiment Video

Updated: May 15, 2026

Microscopy-based Assays for High-throughput Screening of Host Factors Involved in Brucella Infection of Hela Cells
15:29

Microscopy-based Assays for High-throughput Screening of Host Factors Involved in Brucella Infection of Hela Cells

Published on: August 5, 2016

Deep gray matter involvement in neurobrucellosis.

Roopa Rajan1, Dheeraj Khurana, Praveen Kesav

  • 1Department of Neurology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Neurology
|January 16, 2013
PubMed
Summary

Neurobrucellosis, a rare complication of Brucella infection, can cause unusual deep gray matter lesions. Early treatment with antibiotics led to significant clinical and radiological improvement in a patient with this condition.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Radiology

Background:

  • Brucellosis is a zoonotic infection with diverse clinical manifestations.
  • Neurobrucellosis is a rare but serious complication, often presenting as meningitis or cranial neuropathies.
  • Demyelinating lesions are recognized in neurobrucellosis, but deep gray matter involvement is atypical.

Observation:

  • A 27-year-old man with recent Middle East travel presented with fever, altered behavior, and hemiparesis.
  • Cerebrospinal fluid analysis revealed elevated protein with sterile bacterial cultures.
  • Cranial MRI demonstrated bilateral white matter and basal ganglia hyperintensities.

Findings:

  • Serum Brucella agglutination titer was significantly elevated (320 IU).
  • The patient received a 4-month course of antibiotics including ceftriaxone, doxycycline, and rifampicin.
  • Clinical improvement and reduction in MRI lesions were observed after 3 months of treatment.

Implications:

  • This case highlights the unusual presentation of neurobrucellosis with deep gray matter involvement.
  • Prompt diagnosis and appropriate antibiotic therapy are crucial for favorable outcomes in neurobrucellosis.
  • Further research is needed to understand the pathogenesis and optimal management of atypical neurobrucellosis presentations.