Affiliations: [a] Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ataturk University, Erzurum, Turkey | [b] Department of Radiology, Faculty of Medicine, Ataturk University, Erzurum, Turkey | [c] Department of Physical Medicine and Rehabilitation, Division of Rheumatology, Faculty of Medicine, Erciyes University, Kayseri, Turkey
Correspondence:
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Corresponding author: Kazim Senel, Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Ataturk University, Erzurum, Turkey. Tel.: +90 532 677 49 37; Fax: +90 442 236 13 01; E-mail: kazimsenel@gmail.com
Abstract: Objective:Brucellosis is a zoonotic disease and still a major public health problem in many geographic areas including Mediterranean basin and Middle East. Brucellosis causes multisystemic involvement and although rare central nervous system involvement causes serious manifestations. Neurobrucellosis occurs less than 5% of patients and presents with meningitis, encephalitis, myelitis, myelopathy, stroke, paraplegia, radiculoneuritis, intracerebral abscess, epidural abscess, demyelination and cranial nerve involvement or any combination of these manifestations. Spastic paraparesis and the sensorineural involvement are rarely reported in the literature. Methods:Herein we present a 28 years-old man with spastic paraparesis and sensorineural hearing loss due to neurobrucellosis. Results:The patient was treated with antibiotics combination for 6 months and underwent rehabilitation program. Conclusions:Neurobrucellosis should be ruled out in patients with unexplained neurological symptoms and/or sensorineural hearing loss particularly in those living in endemic areas.
Keywords: Neurobrucellosis, spastic paraparesis, sensorineural hearing loss
