RESUMO
CONTEXT: Spondylodiscitis, or vertebral osteomyelitis, is an unusual infection of the vertebral bodies and intervertebral discs that can occasionally present with neurological signs. FINDINGS: We present a patient with subacute flaccid paraparesis with associated albuminocytologic dissociation who was eventually diagnosed with spondylodiscitis. CONCLUSION: The case presented depicts a diagnostic difficulty encountered in clinical practice: Albuminocytologic dissociation in CSF is not always attributed to Guillain-Barre syndrome and other possible causes such as obstructive spinal cord lesions must always be considered.
Assuntos
Antibacterianos/uso terapêutico , Diagnóstico Diferencial , Discite , Síndrome de Guillain-Barré/diagnóstico , Linezolida/uso terapêutico , Paraparesia/etiologia , Albuminas/líquido cefalorraquidiano , Dor nas Costas/etiologia , Discite/diagnóstico , Discite/tratamento farmacológico , Humanos , Imageamento por Ressonância Magnética , Masculino , Pessoa de Meia-Idade , Staphylococcus aureus/isolamento & purificaçãoRESUMO
Brucellosis is the most commonly reported zoonosis. Nervous system participation can occur at any stage of the disease either in acute or subacute or chronic form. Isolated nervous system involvement or neurobrucellosis is a relatively rare form of the disease. We describe an unusual case of an older patient with dementia with recent onset of seizures in the context of primary isolated intraventricular haemorrhage, diagnosed as chronic neurobrucellosis.
