A RARE STROKE CAUSE: BRUCELLA VASCULITIS

Year 2018, Volume: 32 Issue: 1, 59 - 63, 18.05.2018

Refik Kunt Behice Bircan Kurşun İhsan Şükrü Şengün

https://doi.org/10.5505/deutfd.2018.05025

Abstract

Brucellosis
is a zoonotic disease characterized by multisystem involvement and is
frequently encountered in developing countries. Nervous system involvement is
rare, with a reported incidence of 4–11%. Cranial nerve pathologies, optic
stasis, meningitis, myelitis, radiculopathy, peripheral neuropathy and
vasculopathy are the most common findings of neurobrucellosis and the clinical
picture may show itself in various combinations. Cerebral vasculopathy due to
brucellosis is a very rare entity, with only a few cases reported in the
literature. In this article, it is aimed to present a case of a 60-year-old
male neurobrucellosis who developed stroke due to vasculitic involvement of
deep cerebral penetrating vessels and to discuss it in the light of the
literature.

Keywords

Neurobrucellosis, Vasculitis, Stroke

Nadir bir inme nedeni: Brusella Vasküliti

Abstract

Bruselloz gelişmekte olan ülkelerde
sıklıkla rastlanan ve multisistem tutulum ile karakterize olan zoonotik bir
hastalıktır. Sinir sistemi tutulumu nadirdir ve insidansı %4-11 arasındadır.
Kranial sinir patolojileri, optik staz, menenjit, myelit, radikulopati,
periferik nöropati ve vaskülopati en sık görülen nörobruselloz bulgularıdır ve
klinik tablo değişik kombinasyonlarda kendini gösterebilmektedir. Bruselloza
bağlı serebral vaskülopati çok nadir görülmekte olup literatürde birkaç olgu
sunumu ile ifade edilmiştir. Bu yazıda derin serebral penetran damarların
vaskülitik tutulumu neticesinde inme gelişen 60 yaşında erkek bir nörobruselloz
olgusunun sunulması ve literatür eşliğinde tartışılması amaçlanmıştır.

Keywords

Nörobruselloz, Vaskülit, İnme

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