Study Design: Review of cases. Objective: To review cases of brucellosis in order to clarify diagnostic guidelines, treatment regimes and prognosis. Setting: University Hospital, Turkey. Methods: Study of 11 patients (9 male, 2 female) with either brucellar spondylitis or epidural brucellar abscess. Diagnosis made on clinical presentation, laboratory ®ndings, radiographic evidence and a minimum brucellar anti body of 1 : 160, a positive bacteriological culture and/ or histological ®nding of in¯ammation of granulomatous tissue. All patients were treated with a combination of oral antibiotics. Surgery was performed in 8 patients.Results: At least 6 months antibiotic therapy using Rifampicin and Doxycycline is recommended. Surgery is indicated in the presence of spinal instability, cord compression or radiculopathy. In our series eight patients required surgery. Conclusion: The patients complaining of back pain, particularly in endemic areas should be investigated as possible cases of brucellosis.
A child (8 years old) with a gigantic mass of intracranial hydatid cysts (95x90x75 mm) is presented. The first manifestation was difficulty in walking, which was followed by symptoms of raised intracranial pressure. A craniotomy was performed, and more than 25 hydatid cysts were removed. The literature is reviewed and the incidence of gigantic mass of cerebral hydatid cyst is compared in the published reports.
Study design: A case report of acute post-traumatic spinal subdural haematoma (ASSH). Objective: To report a rare post-traumatic problem. Setting: Dicle University Hospital, Diyarbakir, Turkey. Method: A 3-year-old boy was admitted to our clinic with paraplegia 24 h after falling from a height of about 5 meters. Investigation revealed an acute spinal subdural haematoma. Results: Following surgery there was marked improvement. The rehabilitation of the patient continues.
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