{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T02:42:21Z","timestamp":1761964941705},"reference-count":16,"publisher":"American Society of Tropical Medicine and Hygiene","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,3,7]]},"abstract":"<jats:p>Diffuse spinal arachnoiditis in neurobrucellosis is a rare manifestation. We report a boy aged 17, presenting with hearing impairment and recurrent vomiting for 18 months, weight loss for 12 months, dysphagia, dysarthria, hypophonia for 6 months, and gait unsteadiness for 5 months. He had bilateral 5th (motor) to 12th cranial nerve palsy, wasting and weakness of limbs, fasciculations, absent tendon reflexes, and positive Babinski\u2019s sign. Cerebrospinal fluid (CSF) showed raised protein and pleocytosis. Magnetic resonance imaging (MRI) showed extensive enhancing exudates in cisterns and post-contrast enhancement of bilateral 5th, 6th, 7th, and 8th nerves. Spine showed clumping with contrast enhancement of the cauda equina roots and encasement of the cord with exudates. Serum and CSF were positive for anti-<jats:italic>Brucella<\/jats:italic> antibodies. He showed significant improvement with antibiotics. At 4 months follow-up, MRI demonstrated near complete resolution of cranial and spinal arachnoiditis. It is important to recognize such rare atypical presentations of neurobrucellosis.<\/jats:p>","DOI":"10.4269\/ajtmh.17-0828","type":"journal-article","created":{"date-parts":[[2018,1,16]],"date-time":"2018-01-16T07:00:19Z","timestamp":1516086019000},"page":"800-802","source":"Crossref","is-referenced-by-count":3,"title":["Case Report: Neurobrucellosis with Plastered Spinal Arachnoiditis: A Magnetic Resonance Imaging\u2013Based Report"],"prefix":"10.4269","volume":"98","author":[{"given":"Saraswati","family":"Nashi","sequence":"first","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Veeramani","family":"Preethish-Kumar","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India;"},{"name":"Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayani","family":"Maji","sequence":"additional","affiliation":[{"name":"Department of Neuromicrobiology, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nagarathna","family":"Chandrashekar","sequence":"additional","affiliation":[{"name":"Department of Neuromicrobiology, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kiran","family":"Polavarapu","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India;"},{"name":"Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chetan","family":"Kashinkunti","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kajari","family":"Bhattacharya","sequence":"additional","affiliation":[{"name":"Department of Neuroimaging and Interventional Neuroradiology, National Institute of Mental Health and Neurosciences, Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jitender","family":"Saini","sequence":"additional","affiliation":[{"name":"Department of Neuroimaging and Interventional Neuroradiology, National Institute of Mental Health and Neurosciences, Bangalore, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Atchayaram","family":"Nalini","sequence":"additional","affiliation":[{"name":"Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, India;"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"2795","reference":[{"key":"b1","series-title":"J Neurol Neurosurg Psychiatry","first-page":"1017","article-title":"Neurological syndromes of brucellosis","volume":"51","author":"Bahemuka","year":"1988"},{"key":"b2","series-title":"J Assoc Physicians India","first-page":"376","article-title":"Clinical profile of neurobrucellosis\u2014a report on 12 cases from Bikaner (north-west India)","volume":"48","author":"Kochar","year":"2000"},{"key":"b3","series-title":"Postgrad Med J","first-page":"1077","article-title":"Neurobrucellosis","volume":"62","author":"Shakir","year":"1986"},{"key":"b4","series-title":"Infection","first-page":"304","article-title":"Spinal cord compression due to Brucella granuloma","volume":"17","author":"Ceviker","year":"1989"},{"key":"b5","series-title":"Spinal Cord","first-page":"223","article-title":"Management of spinal brucellosis and outcome of rehabilitation","volume":"39","author":"Nas","year":"2001"},{"key":"b6","series-title":"Spinal Cord","first-page":"574","article-title":"Neurobrucellosis and a demonstration of its involvement in spinal roots via magnetic resonance imaging","volume":"41","author":"Goktepe","year":"2003"},{"first-page":"103","year":"2000","author":"Miller","key":"b7"},{"key":"b8","series-title":"Intern Med","first-page":"995","article-title":"Management of neurobrucellosis: an assessment of 11 cases","volume":"47","author":"Gul","year":"2008"},{"key":"b9","series-title":"Scand J Infect Dis","first-page":"94","article-title":"Neurobrucellosis in an endemic area of brucellosis","volume":"35","author":"Bodur","year":"2003"},{"key":"b10","series-title":"Int J Infect Dis","first-page":"446","article-title":"Evaluation of the clinical presentations in neurobrucellosis","volume":"10","author":"Yetkin","year":"2006"},{"key":"b11","series-title":"Brain","first-page":"213","article-title":"Clinical categories of neurobrucellosis. 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