Neurobrucellosis: a partially treatable cause of vision loss

Seyed Hassan Tonekaboni; Abdollah Karimi; Shahnaz Armin; Ladan Afshar Khase; Ali Shabahang Sabertehrani

doi:10.1016/j.pediatrneurol.2008.12.011

Neurobrucellosis: a partially treatable cause of vision loss

Pediatr Neurol. 2009 May;40(5):401-3. doi: 10.1016/j.pediatrneurol.2008.12.011.

Authors

Seyed Hassan Tonekaboni¹, Abdollah Karimi, Shahnaz Armin, Ladan Afshar Khase, Ali Shabahang Sabertehrani

Affiliation

¹ Pediatric Neurology Research Center, Shahid Beheshti University of Medical Sciences, Mofid Children Hospital, Tehran, Iran.

PMID: 19380082
DOI: 10.1016/j.pediatrneurol.2008.12.011

Abstract

Involvement of the central nervous system due to brucellosis is rare and has a broad range of clinical manifestations. Reported here is a case of neurobrucellosis in a 13-year-old boy leading to visual impairment and unilateral hearing loss. Cranial magnetic resonance imaging revealed a suprasellar mass with extension to the optic chiasm. This case represents a novel finding of pediatric neurobrucellosis involving the optic chiasm. The patient's visual acuity, but not hearing, improved after initiation of antibiotic therapy.

Publication types

Case Reports

MeSH terms

Adolescent
Anti-Bacterial Agents / therapeutic use
Brain / pathology
Brucellosis / complications*
Brucellosis / drug therapy
Brucellosis / pathology
Central Nervous System Infections / complications*
Central Nervous System Infections / drug therapy
Central Nervous System Infections / pathology
Follow-Up Studies
Gadolinium
Hearing Loss / drug therapy
Hearing Loss / etiology*
Hearing Loss / pathology
Humans
Magnetic Resonance Imaging
Male
Optic Chiasm / pathology*
Treatment Outcome
Vision Disorders / drug therapy
Vision Disorders / etiology*
Vision Disorders / pathology

Substances

Anti-Bacterial Agents
Gadolinium