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Chronic Meningitis Complicating Intracranial Hypertension in Neurobrucellosis: A Case Report

Betul Tugcu1, Senay Asik Nacaroglu1, Cigdem Coskun2

  • 1a Ophthalmology Department , Bakirkoy Dr. Sadi Konuk Research and Training Hospital , Istanbul , Turkey .

Seminars in Ophthalmology
|February 11, 2014
PubMed

Insights

Chronic intracranial hypertension is a rare but serious complication of neurobrucellosis. Prompt diagnosis and treatment are crucial to prevent permanent vision loss from optic atrophy.

Area of Science:

  • Neurology
  • Infectious Diseases

Background:

  • Neurobrucellosis, an infection of the nervous system by Brucella bacteria, often presents with meningitis.
  • Chronic intracranial hypertension is an uncommon but significant manifestation of neurobrucellosis.

Observation:

  • A case of neurobrucellosis is presented with permanent visual loss.
  • The visual loss was attributed to intracranial hypertension and subsequent post-stasis optic atrophy.

Findings:

  • This case highlights that chronic intracranial hypertension can occur in neurobrucellosis, leading to irreversible visual impairment.
  • Papilledema (optic disc swelling) in endemic areas should raise suspicion for neurobrucellosis, even without other neurological signs.

Implications:

  • Early recognition and management of neurobrucellosis are vital to prevent permanent visual sequelae.
  • Clinicians should consider neurobrucellosis in the differential diagnosis of unexplained papilledema, particularly in regions where Brucella is endemic.
Keywords:
Chronic meningitisintracranial hypertensionneurobrucellosis

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