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Lumbar spinal root compression caused by Brucella granuloma

O M Ozerbil1, O Ural, H I Topatan

  • 1Department of Physical Medicine, School of Medicine, Selçuk University, Konya, Turkey.

Spine
|March 28, 1998
PubMed
Summary

This case report highlights a rare instance of brucellosis causing extradural spinal compression. Early diagnosis through agglutination testing and bone scans is crucial to differentiate it from disc herniation.

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Area of Science:

  • Neurology
  • Infectious Diseases
  • Spinal Surgery

Background:

  • Brucellosis can manifest with neurological complications like myelopathy or radiculopathy due to spinal lesions.
  • Diagnosis can be challenging due to non-specific symptoms and imaging findings mimicking intervertebral disc herniation.

Observation:

  • A rare case of extradural brucellosis granuloma compressing lumbar spinal roots and the dural sac is presented.
  • The patient presented with symptoms suggestive of lumbar disc herniation.

Findings:

  • Computed tomographic scans identified a Brucella granuloma causing compression.
  • Surgical excision via laminectomy and facetectomy was performed, with subtotal removal of the granuloma.

Implications:

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  • This case underscores the importance of considering brucellosis in the differential diagnosis of spinal compression, especially in endemic regions.
  • Agglutination testing and bone scans are vital for accurate differentiation from intervertebral disc herniation.