Journal Information
Vol. 20. Issue 2.
Pages 159-162 (January 2009)
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Vol. 20. Issue 2.
Pages 159-162 (January 2009)
Lumbar epidural abscess caused by brucella species: report of two cases
Absceso epidural lumbar causado por brucella: descripción de dos casos
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1575
E. Daglioglu
, O. Okay, A. Dalgic, F. Ergungor
Neurosurgery clinics. Ankara Numune Education and Research Hospital. Ankara. Turkey
N. Bayazit*, H.G. Hatipoglu**
* Department of Infectious Diseases and Clinical Microbiology. Ankara Numune Education and Research Hospital. Ankara. Turkey
** Department of Radiology. Ankara Numune Education and Research Hospital. Ankara. Turkey
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Summary

Spinal epidural abscess due to Brucella species is usually associated with spondylodiscitis. Urgent surgical decompression should be performed in cases with moderate to severe neurological deficits particularly if progressive. We report clinical features of two cases operated for lumbar epidural abscess caused by Brucella species. Early surgical decompression combined with medical treatment could decrease progression of neurological findings or the severity of complications. Iatrogenic dural tear at the operation should be repaired immediately with fine sutures and fibrin tissue glue to prevent further innoculation into the cerebrospinal axis. These cases should be cautiously followed for any recurrence or neurobrucellosis.

Key words:
Epidural abscess
Brucellosis
Brucella spondylitis
Lumbar region
Surgery
Dural tear
Resumen

Los abscesos epidurales espinales debidos a Brucella se asocian habitualmente a espondilodiscitis. La descompresión quirúrgica urgente debe ser realizada en casos con déficit neurológico moderado o grave particularmente si este es progresivo. Describimos los aspectos clínicos de dos casos operados por abscesos epidurales causados por Brucella. El tratamiento quirúrgico temprano asociado con tratamiento médico puede disminuir la progresión de la sintomatología neurológica y la gravedad de las complicaciones. La aparición de desgarros durales durante la cirugía debe ser reparada de forma inmediata con sutura o pegamentos de fibrina para prevenir la inoculación dentro del neuroeje. Estos casos deben ser seguidos de forma cuidadosa para evitar la recurrencia de la neurobrucelosis.

Palabras clave:
Absceso epidural
Brucelosis
Espondilitis por brucella
Región lumbar
Cirugía
Desgarro dural

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