کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
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3094042 | 1190551 | 2006 | 6 صفحه PDF | دانلود رایگان |
![عکس صفحه اول مقاله: Spinal epidural abscess due to Brucella Spinal epidural abscess due to Brucella](/preview/png/3094042.png)
BackgroundBrucellar spinal epidural abscess (SEA) is a rarely encountered clinical entity during the course of the systemic Brucella infection.MethodsWe reported 9 patients diagnosed with Brucellar SEA with a mean follow-up of 20 months. Spinal epidural abscess was detected by magnetic resonance imaging in all cases. Brucella diagnosis was established by specific blood tests. Patients were administered antibiotics for a duration of 6 to 12 weeks.ResultsSpinal epidural abscess was localized in lumbar region in 6 patients, dorsal in 2 patients, and cervical in 1 patient. Abscess mimicked disk herniation clinically in 3 patients. Although neurologic examination was normal in 6 patients, we detected motor deficit in 3 patients. Symptoms regressed in all patients but 1 after the institution of antibiotic regimens, and all recovered fully without any sequel. Surgical drainage of abscess was performed in 1 patient.ConclusionsProper antibiotic regimens in required doses and duration should be the primary treatment in Brucellar SEA. The criteria for terminating antibiotic therapy are clinical recovery and dissolution of abscess images radiologically. Lastly, should any neurologic deterioration be detected during the course of medical treatment, surgical decompression is to be considered.
Journal: Surgical Neurology - Volume 66, Issue 2, August 2006, Pages 141–146