Bahemuka M, Shemena A R, Panayiotopoulos C P, al-Aska A K, Obeid T, Daif A K
College of Medicine, Department of Medicine, Riyadh, Saudi Arabia.
J Neurol Neurosurg Psychiatry. 1988 Aug;51(8):1017-21. doi: 10.1136/jnnp.51.8.1017.
Eleven patients with brucellosis presented with neurological features closely simulating transient ischaemic attacks, cerebral infarction, acute confusional state, motor neuron disease, progressive multisystem degeneration, polyradiculoneuropathy, neuralgic amyotrophy, sciatica and cauda equina syndrome. Most patients improved quickly after adequate antibiotic treatment but chronic cases responded poorly. These protean neurological manifestations of brucellosis indicate that the underlying pathological mechanisms are diverse.
11例布鲁氏菌病患者出现的神经症状与短暂性脑缺血发作、脑梗死、急性意识模糊状态、运动神经元病、进行性多系统变性、多神经根神经病、神经痛性肌萎缩、坐骨神经痛和马尾综合征极为相似。大多数患者在接受充分的抗生素治疗后迅速好转,但慢性病例反应不佳。布鲁氏菌病这些多变的神经表现表明其潜在的病理机制是多样的。