神经型布鲁氏菌病：视力丧失的一种可部分治疗的病因。

Neurobrucellosis: a partially treatable cause of vision loss.

作者信息

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

机构信息

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

出版信息

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

DOI:10.1016/j.pediatrneurol.2008.12.011

PMID:19380082

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.

摘要

布鲁氏菌病累及中枢神经系统较为罕见，临床表现广泛。本文报告一例13岁男孩的神经型布鲁氏菌病，导致视力损害和单侧听力丧失。头颅磁共振成像显示鞍上肿块延伸至视交叉。该病例代表了累及视交叉的小儿神经型布鲁氏菌病的新发现。抗生素治疗开始后，患者的视力而非听力有所改善。