A Rare Case of Intracranial Hypertension

Title: A Rare Case of Intracranial Hypertension

Authors: Mohammad Fakruddin, Ricken Mehta, Vedavathi R, Chandrashekar H R, Manasa, Sneha, Shwetha Prasad

DOI: https://dx.doi.org/10.18535/jmscr/v4i12.63

Abstract

Brucellosis is a systemic infection caused by gram-negative bacilli of the genus Brucella, Four species are pathogenic for humans: B.abortus, B.melitensis, B. suis. B. canis. The most invasive and pathogenic type of human brucellosis is due to B. melitensis. It is also known as Undulant fever and Malta Fever.

Neurobrucellosis is a rare complication reported in 1–5% of adults, severe complications including meningitis, meningoencephalitis, myelitis-radiculoneuritis, brain abscess, epidural abscess, and meningova-scular syndromes, have been reported , only few cases of central nervous system involvement and isolated intra cranial hypertension reported.We are presenting a case report of neurobrucellosis in which patient developed right abducent nerve palsy and papilloedema which eventually recovered with treatment.

References

1. H. Cem Gul and Hakan Erdem Brucellosis (Brucella Species)

2. María Pía Franco, Maximilian Mulder, Robert H Gilman, Henk L Smits Human brucellosis.

3. Figen Guney a,∗, Haluk Gumusa, Aysegul Ogmegul a, Bahar Kandemir b, Dilek Emlik c, Ugur Arslan d, Inci Tuncer d : case report of neurobrucellosis associated with hydrocephalus.

4. Tumer Guven,1 Kenan Ugurlu,2 Onder Ergonul,3 Aysel Kocagul Celikbas,4 Sebnem Eren Gok,4 Selcuk Comoglu,5 Nurcan Baykam,4 and Basak Dokuzoguz4: Neurobrucellosis: Clinical and Diagnostic Features.

5. Michael Wall, Deborah I. Friedman, James J. Corbett, et al. Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.

6. Pseudotumor·like Presentation of Neurob-rucellosis A Panagariya*, B Sharma**, V Mathew**

7. Abducent nerve palsy during treatment of brucellosis Mesut Yilmaz*, Resat Ozaras, Ali Mert, Recep Ozturk, Fehmi Tabak Infectious Diseases and Clinical Microbiology Department, Cerrahpasa Medical Faculty, Istanbul University, 34303 Aksaray, Istanbul, Turkey.

8. Kaleidoscopic presentation of neurobrucellosis, Praveen Kesav a, Manish Modi a,⁎, Veenu Singla b, Dheeraj Khurana a, Sudesh Prabhakar a : Journal of the Neurological Sciences.

9. Isolated intracranial hypertension: a rare presentation of neurobrucellosis, Handan Isın Özisik *,Yasemin Ersoy, Mehmet ReﬁkTevﬁk, Sibel Kızkın, Cemal Özcan, Research Hospital, Turgut Ozal Medical Center, Inonu University Medical Faculty, TR-44330 Malatya, Turkey.

10. Central Nervous System Brucellosis: Presentation, Diagnosis and Treatment, H. Akdeniz .1, H. Irmak 1, O. Anlar 2 and A. P. Demir6z 1 , Departments of 1Infectious Diseases and 2Neurology, Medical School of Yf2zf3ncfi YII University, Van, Turkey.

Corresponding Author

Mohammad Fakruddin

KIMS Hospital and Research Centre,

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