A extremely rare case of cervical intramedullary granuloma due to Brucella accompanied by Chiari Type-1 malformation

Chiari Type-1 malformation is displacement of the cerebellar tonsils through the foramen magnum into the cervical spine and usually does not exceed the level of C2. It is 50-70% associated with syringomyelia. Nervous system involvement due to brucellosis is called neurobrucellosis, and neurological...

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Bibliographic Details
Published in:Asian journal of neurosurgery 2014-07, Vol.9 (3), p.173-176
Main Authors: Tufan, Kadir, Aydemir, Fatih, Sarica, Feyzi, Kursun, Ebru, Kardes, Özgür, Cekinmez, Melih, Caner, Hakan
Format: Article
Language:English
Subjects:
Arnold-Chiari deformity
Care and treatment
CASE REPORT
Case studies
Complications and side effects
Diagnosis
Granuloma
Patient outcomes
Risk factors
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Summary:Chiari Type-1 malformation is displacement of the cerebellar tonsils through the foramen magnum into the cervical spine and usually does not exceed the level of C2. It is 50-70% associated with syringomyelia. Nervous system involvement due to brucellosis is called neurobrucellosis, and neurological involvement rate has been reported an average of 3-5%, ranging between 3% and 25% at different series. Intramedullary abscess or granuloma due to Brucella is extremely rare. Hence far, six cases have been reported in the literature and only two of these cases were reported as intramedullary granuloma. This case is presented in order to remind the importance of the cervical cord granuloma which was presented once before in the literature and to emphasize the importance of evaluation of patient history, clinical and radiological findings together in the evaluation of a patient.
ISSN:1793-5482
2248-9614
DOI:10.4103/1793-5482.142740