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CASE REPORT |
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Volume 24 |
July - September 2008 |
Number 4 |
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Published by : PROFESSIONAL MEDICAL PUBLICATIONS |
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CASE REPORT |
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Volume 24 |
July - September 2008 |
Number 4 |
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Neurobrucellosis: Report of A case
with CVA manifestation
Behzad Mohsenpour1, Payam Khomand2, Ebrahim Ghaderi3
Summary
Although neurological symptoms in brucellosis are frequent, central nervous system (CNS) involvement is uncommon. A 42-year-old man was admitted with an episode of faint without loss of consciousness, right hemi paresis, diplopia and headache lasting for four days. The neurological examination revealed left hemi paresis. Limitation of gazing in left eye in lateral view was seen (partial paresis of 6th cranial nerve). The results of laboratory examinations show positive Wright and Coombs Wright in blood and C.S.F. In the brain CT scan hydrocephaly and in magnetic resonance imaging (MRI) some brain atrophy, few high signal foci in the deep with mater had been detected. Treatment included concurrent administration of three drugs: doxycycline, rifampicin and co-trimoxazole. This patient fully recovered.
We suggest that Neurobrucellosis (NB) should always be sought in young patients with ischemic stroke, especially if they do not have any additional risk factors for stroke and live in an endemic area for brucellosis, even if they do not have other systemic signs of brucellosis.
KEYWORDS: Brucellosis, Ischemic stroke.
Pak J Med Sci July - September 2008 Vol. 24 No. 4 614-617
How to cite this article:
Mohsenpour B, Khomand P, Ghaderi E. Neurobrucellosis: Report of one case with CVA manifestation. Pak J Med Sci 2008;24(4):614-7.
1. Behzad Mohsenpour, M.D & MPH,
Infectious Diseases Specialist,
Tohid Hospital,
Sanandaj, Iran.
2. Payam Khomand, MD
Neurologist, Neurology Department,
Tohid Hospital,
Sanandaj, Iran.
3. Ebrahim Ghaderi, MD
General Practitioner,
Communicable Diseases Expert
of Disease Control And Prevention Group of
Kurdistan Province’s Health Centre,
Sanandaj, Iran.
Correspondence
Behzad Mohsenpour,
Address: Abidar Ave,
Kurdistan Province’s Health Centre,
Sanandaj, Iran.
Email: behzadmohsenpour@yahoo.com
* Received for Publication: January 25, 2008
* Accepted: June 4, 2008
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