Neurobrucellosis as an exceptional cause of transient ischemic attacks

Bingol A., Togay-Isikay C.

European Journal of Neurology, cilt.13, sa.5, ss.544-548, 2006 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 13 Sayı: 5
  • Basım Tarihi: 2006
  • Doi Numarası: 10.1111/j.1468-1331.2006.01286.x
  • Dergi Adı: European Journal of Neurology
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus
  • Sayfa Sayıları: ss.544-548
  • Anahtar Kelimeler: brucellosis, ischemic stroke, transient ischemic attack, NERVOUS-SYSTEM BRUCELLOSIS, DIAGNOSIS, MENINGITIS, MELITENSIS
  • Ankara Üniversitesi Adresli: Evet

Özet

We report a series of four cases presented with transient ischemic attacks (TIA) or ischemic stroke as the predominant manifestation of neurobrucellosis (NB). Three of the patients were 20-28 years of age, and one patient was 53 years old. They all used to consume unpasteurized milk or its products. Two patients had systemic brucellosis in the past and received antibiotic treatment. Other causes of TIA including cardiac embolism, hypercoagulability, vascular malformations, systemic vasculitis, and infective endocarditis were excluded. NB was diagnosed with serological tests or cultures for Brucella in the cerebrospinal fluid. None of the patients had any further TIA after the initiation of specific treatment. NB should always be sought in young patients with TIA or ischemic stroke, especially if they have no risk factors for stroke and live in an endemic area for brucellosis, even if they do not have other systemic signs of brucellosis. © 2006 EFNS.