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Journals / Tıp Araştırmaları Dergisi / 2007 / Cilt: 5 - Sayı: 3

Brucellar epidural abscess mimicking lumbar disc herniation

Bel fıtığını taklit eden spinal epidural abse

ASLAN GÜZEL
Senem ŞENTÜRK
Mehmet Faruk GEYİK
Adnan CEVİZ
Pages
157–159
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Therefore, medical therapy can be tried initially in patients who present with symptoms of sciatica due to brucellar SEA even when they have mild neurologic deficit.

📌 3 Key Takeaways

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Objective & Hypothesis:Brucellar spinal epidural abscess (SEA) is a rarely encountered clinical entity which can mimick lumbar disc herniation.
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Key Findings & Data:In this paper a 23-year-old patient with symptoms and signs of sciatica of whom spinal lumbosacral magnetic resonange imaging (MRI) revealed an anterior epidural abscess compressing left SI nerve root at L5-S1 level with associated spondilodiscitis is presented.
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Conclusion & Impact:Therefore, medical therapy can be tried initially in patients who present with symptoms of sciatica due to brucellar SEA even when they have mild neurologic deficit.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Erişkin · Bruselloz · Tanı

Abstract

Brucellar spinal epidural abscess (SEA) is a rarely encountered clinical entity which can mimick lumbar disc herniation. The optimal treatment of brucellar SEA is still controversial. It is generally recomended that conservative medical therapy should be prefered initially and surgery should be preserved in case there is not enough response to medical therapy. In this paper a 23-year-old patient with symptoms and signs of sciatica of whom spinal lumbosacral magnetic resonange imaging (MRI) revealed an anterior epidural abscess compressing left SI nerve root at L5-S1 level with associated spondilodiscitis is presented. The patient who was diagnosed as having a brucellar SEA on basis of radiologic findings and a positive brucella tube agglutination test had complete clinical and radiological recovery with medical therapy. Therefore, medical therapy can be tried initially in patients who present with symptoms of sciatica due to brucellar SEA even when they have mild neurologic deficit.

Özet

Brusellozise bağlı spinal epidurel abse (SEA) oldukça nadir görülmekte olup bulguları bel fıtığını taklit edebilir. Bu olgularda en uygun tedavinin ne olduğu hala tartışmalıdır. Öncelikle konservatif tıbbi tedavinin tercih edilmesi, cerrahi tedavinin tıbbi tedaviye yanıt alınamaması durumunda uygulanması önerilmektedir. Bu yazıda siyatalji yakınmaları ile başvuran ve lumbosakral spinal manyetik rezonans görüntüleme (MRG)'sinde spondilodiskitisle birlikte L5-S1 disk aralığı düzeyinde, sol Sİ sinir köküne bası yapan epidural abse saptanan 23 yaşında erkek hasta sunulmaktadır. Radyolojik bulguları ve brusella tüp aglütinasyon testi ile brusellar SEA tanısı alan hastada tıbbi tedavi ile klinik ve radyolojik olarak tam düzelme sağlanmıştır. Brusella SEA'sine bağlı siyatalji yakınmaları bulunan olgularda hafif nörolojik defisit bulguları varlığında dahi tıbbi tedavi öncelikle denenebilir.

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Cite This Article

GÜZEL, A., ŞENTÜRK, S., GEYİK, M. F., CEVİZ, A. (2007). Brucellar epidural abscess mimicking lumbar disc herniation. Tıp Araştırmaları Dergisi, Cilt: 5 - Sayı: 3, 157–159. https://ajindex.com/articles/361754

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References (1)

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