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CASE REPORT
Year : 2014  |  Volume : 9  |  Issue : 3  |  Page : 173-176

A extremely rare case of cervical intramedullary granuloma due to Brucella accompanied by Chiari Type-1 malformation


1 Department of Neurosurgery, Faculty of Medicine, Baskent University, Adana, Turkey
2 Department of Infection Diseases, Faculty of Medicine, Baskent University, Adana, Turkey

Correspondence Address:
Dr. Kadir Tufan
Department of Neurosurgery, Faculty of Medicine, Başkent University, Adana Uygulama ve Araştırma Hastanesi, Dadaloglu Mahallesi, 39. Sokak No 6, Adana 01250
Turkey
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1793-5482.142740

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Chiari Type-1 malformation is displacement of the cerebellar tonsils through the foramen magnum into the cervical spine and usually does not exceed the level of C2. It is 50-70% associated with syringomyelia. Nervous system involvement due to brucellosis is called neurobrucellosis, and neurological involvement rate has been reported an average of 3-5%, ranging between 3% and 25% at different series. Intramedullary abscess or granuloma due to Brucella is extremely rare. Hence far, six cases have been reported in the literature and only two of these cases were reported as intramedullary granuloma. This case is presented in order to remind the importance of the cervical cord granuloma which was presented once before in the literature and to emphasize the importance of evaluation of patient history, clinical and radiological findings together in the evaluation of a patient.


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