Brusella Vasküliti: Olgu Sunumu

Abstract

Brucellosis is still common in developing countries. Central nervous system involvement in brucellosis has been reported to be 3-13%. Acute, subacute or chronic meningitis, meningoencephalitis, polyradiculoneuritis, myelitis and vasculitis are the most common features of neurobrucellosis. The aim of this report is to present a case of neurobrucellosis. A 20-year-old male had a stroke (left-sided hemiparesis) due to vasculitic involvement of penetrating cerebral vessels and left abducens palsy related to basal meningeal involvement. Examination of cerebrospinal fluid (CSF) revealed lymphocytic pleocytosis and increased protein as well as raised antibody titers for brucella were detected in the blood and CSF. Neurobrucellosis should be considered in the differential diagnosis of stroke and related disorders because of its endemic nature in our country. (Archives of Neuropsychiatry 2010; 47: 348-50) Resim 1. FLAIR sekansta sa¤ lentiform ve kaudat nükleusta iskemi ile uyumlu hiperintens lezyon Resim 3. Dijital substraksiyon anjiografi incelemesinde sa¤ orta serebral arter M1 segmentinde stenoz Resim 2. T1

A rare stroke cause: Brucella Vasculitis

“…Etiyolojide yer alan önemli faktörlerden biri brusellozun vaskülit yapıcı etkisidir. Vaskülite bağlı tutulum deri, ekstremite, aort ve serebral vasküler sistemde görülebilir (2). Bu yazıda progresif kognitif yıkıma ek olarak, solda okuler -motor bulgular ile bilateral piramidal sistem tutulumlu nörobruselloza bağlı gelişen vaskülit olarak değerlendirilen olgudan bahsedeceğiz.…”

Brucellosis Induced Ascites, Cholestasis and Elevated Serum CA 125 Level: Case Report

“…[5][6][7] The gastrointestinal system is one of the less frequently affected sites in brucellosis. Liver and/or spleen involvement is seen in approximately 30-60% of the cases.…”

Two Tolosa-Hunt Syndrome Accompanied By Peripheral Fasial Nerve Paralysis

“…4. ve/veya 6. kraniyal sinirde parezi ve/veya granülomun gösterilmesi, parezinin aðrý baþlangýcýndan sonraki 2 hafta içinde ortaya çýkmasý, uygun steroid tedavisi ile þikayetlerin 72 saat içinde gerilemesi, aðrýlý oftalmoplejiye sebep olacak diðer sebeplerin ekarte edilmesi sayýlmaktadýr (3,8,9). Menenjit, vaskülitler, oftalmoplejik migren, tümörler, diabetes mellitus, sarkoidoz, kavernöz sinüs trombozu, a. Karotis interna anevrizmasý, ayrýcý tanýda düþünülebilir ve bunlarý ekarte etmek için dikkatli inceleme yapýlmalýdýr (8,10). Kraniyal MRG ve lomber ponksiyon ayrýcý tanýdaki birçok þeyi dýþlamamýzý saðlamaktadýr.…”