Lumbar epidural abscess caused by brucella species: report of two cases
Neurocir. - Soc. Luso-Esp. Neurocir
; 20(2): 159-162, mar.-abr. 2009. ilus
Article
in English
| IBECS
| ID: ibc-60966
Responsible library:
ES1.1
Localization: BNCS
ABSTRACT
Spinal epidural abscess due to Brucella species isusually associated with spondylodiscitis. Urgent surgicaldecompression should be performed in cases withmoderate to severe neurological deficits particularlyif progressive. We report clinical features of two casesoperated for lumbar epidural abscess caused by Brucellaspecies. Early surgical decompression combinedwith medical treatment could decrease progression ofneurological findings or the severity of complications.Iatrogenic dural tear at the operation should be repairedimmediately with fine sutures and fibrin tissue glueto prevent further innoculation into the cerebrospinalaxis. These cases should be cautiously followed for anyrecurrence or neurobrucellosis (AU)
RESUMEN
Los abscesos epidurales espinales debidos a Brucellase asocian habitualmente a espondilodiscitis. Ladescompresión quirúrgica urgente debe ser realizadaen casos con déficit neurológico moderado o graveparticularmente si este es progresivo. Describimos losaspectos clínicos de dos casos operados por abscesosepidurales causados por Brucella. El tratamiento quirúrgicotemprano asociado con tratamiento médicopuede disminuir la progresión de la sintomatologíaneurológica y la gravedad de las complicaciones. Laaparición de desgarros durales durante la cirugía debeser reparada de forma inmediata con sutura o pegamentosde fibrina para prevenir la inoculación dentrodel neuroeje. Estos casos deben ser seguidos de formacuidadosa para evitar la recurrencia de la neurobrucelosis (AU)
Full text:
Available
Collection:
National databases
/
Spain
Health context:
SDG3 - Health and Well-Being
/
Neglected Diseases
Health problem:
Target 3.3: End transmission of communicable diseases
/
Neglected Diseases
/
Zoonoses
Database:
IBECS
Main subject:
Brucella
/
Brucellosis
/
Epidural Abscess
/
Lumbar Vertebrae
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
Neurocir. - Soc. Luso-Esp. Neurocir
Year:
2009
Document type:
Article
Institution/Affiliation country:
Neurosurgery clinics/s. p
/
Neurosurgery clinics/s.p
/
Research Hospital/Turkey