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Journal of Korean Neurosurgical Society 2004;35(3): 332-335.
Brucellar Spondylodiscitis: Case Report and Literature Review.
Seung Yeob Yang, Chun Kee Chung
1Department of Neurosurgery, Seoul National University College of Medicine, Korea. chungc@snu.ac.kr
2Clinical Research Institute, Seoul National University Hospital, Seoul, Korea.
Brucellosis is not a rare disease, although it has not been reported recently in Korea. Spondylitis is the most prevalent and important clinical form of osteoarticular involvement in adults infected by Brucella. Concerning brucellosis, clinical diagnosis of brucellosis starts with a suspicion of the disease. Vertebral body signal changes without destructive changes, marked signal increase in the intervertebral disc on T2-weighted and contrast-enhanced sequences, soft tissue involvement without abscess formation and facet joint involvement, can be distinguishing magnetic resonance imaging(MRI) features of brucellar spondylitis. Tuberculous spondylitis, metastasis, spinal degenerative diseases, and postoperative changes Should be differentiated. We report upon the first case of brucellar spondylodiscitis in a Korean, and present review of the literature.
Key Words: Brucellosis; Lumbar; Spondylitis
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