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Surgical Therapy of Neurobrucellosis

  • Xenophon SinopidisEmail author
  • Mehmet Turgut
  • Stylianos Roupakias
  • Ahmet Tuncay Turgut
  • Oreste de Divitiis
Chapter

Abstract

The presentation of the role of surgery in the treatment of neurobrucellosis is the scope of this chapter. As laboratory and imaging diagnostic methods and antibacterial drug regimens continuously evolve, the same occurs to operative equipment and methods. Surgical involvement in life-threatening conditions such as brain and spinal abscess is thoroughly presented. In this chapter, special issues such as cerebrovascular involvement or intraparenchymal lesions are addressed. Intervention in structures with high morbidity like the cervical spine is exposed. Minimal invasive techniques, stenting, grafts, and instrumentation are presented in a friendly way for anyone who is involved in the treatment of neurobrucellosis.

Keywords

Aspiration Brain abscess Craniotomy Drainage Neurobrucellosis Spine stabilization Stereotactic surgery Treatment Ventriculostomy 

Abbreviations

ACA

Anterior cerebral artery

CSF

Cerebrospinal fluid

CT

Computed tomography

IICP

Increased intracranial pressure

IVD

Intervertebral disk herniation

MCA

Middle cerebral artery

MRI

Magnetic resonance imaging

SAH

Subarachnoid hemorrhage

US

Ultrasound

References

  1. 1.
    Adaletli I, Albayram S, Gurses B, Ozer H, Yilmaz MH, Gulsen F, Sirikci A (2006) Vasculopathic changes in the cerebral arterial system with neurobrucellosis. AJNR Am J Neuroradiol 27:384–386PubMedGoogle Scholar
  2. 2.
    Alp E, Doganay M (2008) Current therapeutic strategy in spinal brucellosis. Int J Infect Dis 12:573–577PubMedCrossRefGoogle Scholar
  3. 3.
    Altekin RE, Karakas SM, Yanikoglou A, Ozbek SC, Akdemir B, Demitras H, Demirtas H, Deger N, Cekirge IS (2011) Aortic valve endocarditis and cerebral mycotic aneurysm due to brucellosis. J Cardiol Cases 4:e179–e182CrossRefGoogle Scholar
  4. 4.
    Alvis Miranda H, Castellar Leones SM, Elzain MA, Moscote Salazar LR (2013) Brain abscess: current management. J Neurosci Rural Pract 4:S67–S81PubMedPubMedCentralGoogle Scholar
  5. 5.
    Amiri RS, Hanif H, Ahmadi A, Amirjamshidi A (2014) Brucella-related multiple cerebral aneurysms: report of a case and review of the literature. Surg Neurol Int 21:152Google Scholar
  6. 6.
    Arlotti M, Grossi P, Pea F, Tomei G, Vullo V, De Rosa FG, Di Perri G, Nicastri E, Lauria FN, Carosi G, Moroni M, Ippolito G, GISIG (Gruppo Italiano di Studio sulle Infezioni Gravi) Working Group on Brain Abscesses (2010) Consensus document on controversial issues for the treatment of infections of the central nervous system: bacterial brain abscesses. Int J Infect Dis 14:S79–S92PubMedCrossRefGoogle Scholar
  7. 7.
    Arslantas A, Kerimoglu A, Durmaz R, Cosan E, Atasoy M, Tel E (2002) Epidemiology and treatment of spinal infections. Annual meeting of Turkish Neurosurgical Society, Istanbul; Congress Book, PS 43, 03–08 JuneGoogle Scholar
  8. 8.
    Asadi H, Dowling R, Yan B, Wong S, Mitchell P (2015) Advances in endovascular treatment of acute ischemic stroke. Intern Med J 45:798–805. doi: 10.1111/imj.12652 PubMedCrossRefGoogle Scholar
  9. 9.
    Ates O, Cayli SR, Kocak A, Kutlu R, Onal RE, Tekiner A (2005) Spinal epidural abscess caused by brucellosis. Neurol Med Chir 45:66–70CrossRefGoogle Scholar
  10. 10.
    Ay S, Tur BS, Kutlay S (2010) Cerebral infarct due to meningovascular neurobrucellosis: a case report. Int J Infect Dis 14:e202–e204PubMedCrossRefGoogle Scholar
  11. 11.
    Ayala-Gaytan JJ, Ortegon-Baqueiro H, de la Maza M (1989) Brucella melitensis cerebellar abscess. J Infect Dis 160:730–732PubMedCrossRefGoogle Scholar
  12. 12.
    Aydin G, Tosun A, Keles I, Ayaslioglu E, Tosun O, Orkun S (2006) Brucellar spondylodiscitis: a case report. Int J Clin Pract 60:1502–1505PubMedCrossRefGoogle Scholar
  13. 13.
    Aygen B, Doganay M, Sümerkan B, Yildiz O, Kayabas U (2002) Clinical manifestations, complications and treatment of brucellosis: a retrospective evaluation of 480 patients. Med Mal Infect 32:485–493CrossRefGoogle Scholar
  14. 14.
    Bingöl A, Togay-Işikay C (2006) Neurobrucellosis as an exceptional cause of transient ischemic attacks. Eur J Neurol 13:544–548PubMedCrossRefGoogle Scholar
  15. 15.
    Bingol A, Yucemen N, Meco O (1999) Medically treated intraspinal “Brucella” granuloma. Surg Neurol 52:570–576PubMedCrossRefGoogle Scholar
  16. 16.
    Bishop FS, Finn MA, Samuelson M, Schmidt RH (2009) Endovascular balloon angioplasty for treatment of posttraumatic venous sinus thrombosis. Case report. J Neurosurg 111:17–21PubMedCrossRefGoogle Scholar
  17. 17.
    Bodur H, Erbay A, Colpan A, Akinci E (2004) Brucellar spondylitis. Rheumatol Int 24:221–226PubMedCrossRefGoogle Scholar
  18. 18.
    Boyaci A, Boyaci N, Tutoglu A, Dokumaci DS (2013) Spinal epidural abscess in brucellosis. BMJ Case Rep. pii: bcr2013200946. doi:  10.1136/bcr-2013-200946
  19. 19.
    Brydon HL, Hardwidge C (1994) The management of cerebellar abscess since introduction of CT scanning. Br J Neurosurg 8:447–455PubMedCrossRefGoogle Scholar
  20. 20.
    Calik M, Iscan A, Gul M, Derme T, Cece H, Torun MF (2012) Severe neurobrucellosis in a young infant. Clin Neurol Neurosurg 114:1046–1048PubMedCrossRefGoogle Scholar
  21. 21.
    Canale DJ (1996) William MacEwen and the treatment of brain abscesses: revisited after one hundred years. J Neurosurg 84:133–142PubMedCrossRefGoogle Scholar
  22. 22.
    Carrasco-Moro R, García-Navarrete E, Pedrosa-Sánchez M, Pascual-Garvi JM, Minervini-Marín M, Sola RG (2006) Refractory epilepsy as the presenting symptom of a brucellar brain abscess. Rev Neurol 43:729–732PubMedGoogle Scholar
  23. 23.
    Cesur S, Ciftci A, Sōzen TH, Tekeli E (2003) A case of epididymo-orchitis and paravertebral abscess due to brucellosis. J Infect 46:251–253PubMedCrossRefGoogle Scholar
  24. 24.
    Chaloupka JC, Mangla S, Huddle DC (1999) Use of mechanical thrombolysis via microballoon percutaneous transluminal angioplasty for the treatment of acute dural sinus thrombosis: case presentation and technical report. Neurosurgery 45:650–656PubMedCrossRefGoogle Scholar
  25. 25.
    Chen WH, Jiang LS, Dai LY (2007) Surgical treatment of pyogenic vertebral osteomyelitis with spinal instrumentation. Eur Spine J 16:1307–1326PubMedCrossRefGoogle Scholar
  26. 26.
    Choi CY, Datta NN (2000) Juxtapositioning of the temporalis muscle for intractable subdural empyema in infants. Surg Neurol 54:316–319PubMedCrossRefGoogle Scholar
  27. 27.
    Chow K, Gobin YP, Saver J, Kidwell C, Dong P, Viñuela F (2000) Endovascular treatment of dural sinus thrombosis with rheolytic thrombectomy and intra-arterial thrombolysis. Stroke 31:1420–1425PubMedCrossRefGoogle Scholar
  28. 28.
    Chun JY, Smith W, Halbach VV, Higashida RT, Wilson CB, Lawton MT (2001) Current multimodality management of infectious intracranial aneurysms. Neurosurgery 48:1203–1214PubMedGoogle Scholar
  29. 29.
    Çokça F, Meco O, Arasil E, Unlu A (1994) An intramedullary dermoid cyst abscess due to Brucella abortus biotype 3 at T11-L2 spinal levels. Case report. Infection 22:359–360PubMedCrossRefGoogle Scholar
  30. 30.
    Colmenero JD, Reguera JM, Martos F, Sanchez-De-Mora D, Delgado M, Causse M, Martin-Farfân A, Juarez C (1996) Complications associated with Brucella melitensis infection: a study of 530 cases. Medicine (Baltimore) 75:195–211CrossRefGoogle Scholar
  31. 31.
    Daglioglu E, Bayazit N, Okay O, Dalgic A, Hatipoglu HG, Ergungor F (2009) Lumbar epidural abscess caused by brucella species: report of two cases. Neurocirugia (Astur) 20:159–162CrossRefGoogle Scholar
  32. 32.
    De Divitiis O, de Divitiis E (2012) Brain abscess: past and present. World Neurosurg 78:607–609PubMedCrossRefGoogle Scholar
  33. 33.
    De Divitiis O, Elefante A (2012) Cervical spinal brucellosis. World Neurosurg 78:257–259PubMedCrossRefGoogle Scholar
  34. 34.
    Ding D, Raper DM, Carswell AJ, Liu KC (2014) Endovascular stenting for treatment of mycotic intracranial aneurysms. J Clin Neurosci 21:1163–1168PubMedCrossRefGoogle Scholar
  35. 35.
    Duarte RM, Vaccaro AR (2013) Spinal infection: state of the art and management algorithm. Eur Spine J 22:2787–2799PubMedPubMedCentralCrossRefGoogle Scholar
  36. 36.
    El Mostarchid B, Okacha N, Akhddar A, Gazzaz M, Boucetta M (2008) Spinal cord compression caused by brucellar spondylitis. Pan Arab J Neurosurg 12:102–104Google Scholar
  37. 37.
    Erdem M, Namiduru M, Karaoglan I, Kecik VB, Aydin A, Tanriverdi M (2012) Unusual presentation of neurobrucellosis: a solitary intracranial mass lesion mimicking a cerebral tumor: a case of encephalitis caused by Brucella melitensis. J Infect Chemother 18:767–770PubMedPubMedCentralCrossRefGoogle Scholar
  38. 38.
    Erdogan B, Sener L, Ozsahin K, Savas L, Caner H (2005) An unusual case of ruptured distal anterior cerebral artery aneurysm associated with brucellosis. J Infect 51:e79–e82PubMedCrossRefGoogle Scholar
  39. 39.
    Erdoğan E, Cansever T (2008) Pyogenic brain abscess. Neurosurg Focus 24, E2PubMedCrossRefGoogle Scholar
  40. 40.
    Formaglio M, Catenoix H, Tahon F, Mauguière F, Vighetto A, Turjman F (2010) Stenting of a cerebral venous thrombosis. J Neuroradiol 37:182–184PubMedCrossRefGoogle Scholar
  41. 41.
    Frazier JL, Ahn ES, Jallo GI (2008) Management of brain abscesses in children. Neurosurg Focus 24, E8PubMedCrossRefGoogle Scholar
  42. 42.
    Fritsch M, Manwaring KH (1997) Endoscopic treatment of brain abscess in children. Minim Invasive Neurosurg 40:103–106PubMedCrossRefGoogle Scholar
  43. 43.
    Fukuta S, Miyamoto K, Masuda T, Hosoe H, Kodama H, Nishimoto H, Sakaeda H, Shimizu K (2003) Two-stage (posterior and anterior) surgical treatment using posterior spinal instrumentation for pyogenic and tuberculotic spondylitis. Spine 28:E302–E308PubMedGoogle Scholar
  44. 44.
    Gadgil N, Patel AJ, Gopinath SP (2013) Open craniotomy for brain abscess: a forgotten experience? Surg Neurol Int 4:34PubMedPubMedCentralCrossRefGoogle Scholar
  45. 45.
    Gangi SMS, Roushan MRH, Janmohammadi N, Mehraeen R, Amiri MJS, Khalilian E (2012) Outcomes of treatment in 50 cases with spinal brucellosis in Babol, Northern Iran. J Infect Dev Ctries 6:654–659Google Scholar
  46. 46.
    Gorgan M, Neacsu A, Bucur N, Pruna V, Lipan C, Sandu AM, Cristescu CF (2012) Brain abscesses: management and outcome analysis in a series of 84 patients during 12 year period. Romanian Neurosurg 3:175–182Google Scholar
  47. 47.
    Gōrgulu A, Albayrak BS, Gorgulu E, Tural O, Karaaslan T, Oyar O, Yilmaz M (2006) Spinal epidural abscess due to Brucella. Surg Neurol 66:141–147PubMedCrossRefGoogle Scholar
  48. 48.
    Guglielmino A, Sorbello M, Murabito O, Naimo J, Palumbo A, Lo Giudice E, Giuffrida S, Fazzio S, Parisi G, Mangiameli S (2007) A case of lumbar sciatica in a patient with spondylolysis and spondylolysthesis and underlying misdiagnosed brucellar discitis. Minerva Anestesiol 73:307–312PubMedGoogle Scholar
  49. 49.
    Gul HC, Erdem H, Bek S (2009) Overview of neurobrucellosis: a pooled analysis of 187 cases. Int J Infect Dis 13:e339–e343PubMedCrossRefGoogle Scholar
  50. 50.
    Gündeş S, Meriç M, Willke A, Erdenliğ S, Koç K (2004) A case of intracranial abscess due to Brucella melitensis. Int J Infect Dis 8:379–381PubMedCrossRefGoogle Scholar
  51. 51.
    Guzey FK, Emel E, Sel B, Bas NS, Ozkan N, Karabulut C, Solak O, Esenyel M (2007) Cervical spinal brucellosis causing epidural and prevertebral abscesses and spinal cord compression: a case report. Spine J 7:240–244PubMedCrossRefGoogle Scholar
  52. 52.
    Hadjipavlou AG, Katonis PK, Gaitanis IN, Muffoletto AJ, Tzermiadianos MN, Crow W (2004) Percutaneous transpendicular discectomy and drainage in pyogenic spondylodiscitis. Eur Spine J 13:707–713PubMedPubMedCentralCrossRefGoogle Scholar
  53. 53.
    Hakan T (2008) Management of bacterial brain abscesses. Neurosurg Focus 24, E4PubMedCrossRefGoogle Scholar
  54. 54.
    Hall WA, Truwit CL (2008) The surgical management of infections involving the cerebrum. Neurosurgery 62:519–530PubMedCrossRefGoogle Scholar
  55. 55.
    Hellwig D, Benes L, Bertalanfy H, Bauer BL (1997) Endoscopic stereotaxy-an eight years’ experience. Stereotact Funct Neurosurg 68:90–97PubMedCrossRefGoogle Scholar
  56. 56.
    Helvaci M, Kaslgra E, Çetin N, Yaprak I (2002) Intramedullary spinal cord abscess suspected of Brucella infection. Pediatr Int 44:446–448PubMedCrossRefGoogle Scholar
  57. 57.
    Helweg-Larsen J, Astradsson A, Richhall H, Erdal J, Laursen A, Brennum J (2012) Pyogenic brain abscess, a 15 year survey. BMC Infect Dis 12:332PubMedPubMedCentralCrossRefGoogle Scholar
  58. 58.
    Hunt MG, Lee AG, Kardon K, Lesley WS, Chaloupka JC (2001) Improvement in papilledema and visual loss after endovascular stent placement in dural sinus thrombosis. Neuroophthalmology 26:85–92PubMedCrossRefGoogle Scholar
  59. 59.
    Kamikawa S, Inui A, Miyake S, Kobayashi N, Kasuga M, Yamadori T, Tamaki N (1997) Neuroendoscopic surgery for brain abscess. Eur J Paediatr Neurol 1:121–122PubMedCrossRefGoogle Scholar
  60. 60.
    Karaca S, Demiroglu YZ, Karatas M, Tan M (2007) Acquired progressive spastic paraparesis due to neurobrucellosis: a case report. Acta Neurol Belg 107:118–121PubMedGoogle Scholar
  61. 61.
    Katonis P, Tzermiadianos M, Gikas A, Papagelopoulos P, Hadjipavlou A (2006) Surgical treatment of spinal brucellosis. Clin Orthop Relat Res 444:66–72PubMedCrossRefGoogle Scholar
  62. 62.
    Kimber J (2002) Cerebral venous sinus thrombosis. QJM 95:137–142PubMedCrossRefGoogle Scholar
  63. 63.
    Kōkes F, Aciduman A, Günaydin A, Kinikli S (2007) A rare cause of “foot drop”: spinal epidural Brucella granuloma. Turk Neurosurg 17:255–259PubMedGoogle Scholar
  64. 64.
    Kollias SS, Bernays RL (2001) Interactive magnetic resonance imaging-guided management of intracranial cystic lesions by using an open magnetic resonance imaging system. J Neurosurg 95:15–23PubMedCrossRefGoogle Scholar
  65. 65.
    Korovessis P, Petsinis G, Koureas G, Iliopoulos P, Zacharatos S (2006) One stage combined surgery with mesh cages for treatment of septic spondylitis. Clin Orthop 444:51–59PubMedCrossRefGoogle Scholar
  66. 66.
    Korovessis P, Sidiropoulos P, Piperos G, Karagiannis A (1993) Spinal epidural abscess complicated closed vertebral fracture: a case report and review of literature. Spine 18:671–674PubMedCrossRefGoogle Scholar
  67. 67.
    Kose S, Senger SS, Çavdar G, Yavas S (2011) Case report on the development of a brucellosis-related epidural abscess. J Infect Dev Ctries 5:403–405PubMedCrossRefGoogle Scholar
  68. 68.
    Kulcsár Z, Marosfōi M, Berentei Z, Szikora I (2010) Continuous thrombolysis and repeated thrombectomy with the Penumbra System in a child with hemorrhagic sinus thrombosis: technical note. Acta Neurochir (Wien) 152:911–916CrossRefGoogle Scholar
  69. 69.
    Kumar A, Saeed H, Alamri A, Crocker M, Dave J (2011) Twenty years of intracranial abscesses: prognostic indicators and treatment review. J Infect 63:491–492CrossRefGoogle Scholar
  70. 70.
    Lampropoulos C, Kamposos P, Papaioannou I, Niarou V (2012) Cervical epidural abscess caused by brucellosis. BMJ Case Rep 2012. pii: bcr2012007070. doi: 10.1136/bcr-2012-007070
  71. 71.
    Landriel F, Ajler P, Hem S, Bendersky D, Goldschmidt E, Garategui L, Vecchi E, Konsol O, Carrizo A (2012) Supratentorial and infratentorial brain abscesses: surgical treatment, complications and outcomes-a 10-year single-center study. Acta Neurochir (Wien) 154:903–911CrossRefGoogle Scholar
  72. 72.
    Lee TH, Chang WN, Su TM, Chang HW, Lui CC, Ho JT, Wang HC, Lu CH (2007) Clinical features and predictive factors of intraventricular rupture in patients who have bacterial brain abscesses. J Neurol Neurosurg Psychiatry 78:303–309PubMedCrossRefGoogle Scholar
  73. 73.
    Longatti P, Perin A, Ettorre F, Fiorindi A, Baratto V (2006) Endoscopic treatment of brain abscesses. Childs Nerv Syst 22:1447–1450PubMedCrossRefGoogle Scholar
  74. 74.
    Lu CH, Chang WN, Lui CC (2006) Strategies for the management of bacterial brain abscess. J Clin Neurosci 13:979–985PubMedCrossRefGoogle Scholar
  75. 75.
    Lu DC, Wang V, Chou D (2009) The use of allograft or autograft and expandable titanium cages for the treatment of vertebral osteomyelitis. Neurosurgery 64:122–129PubMedCrossRefGoogle Scholar
  76. 76.
    Malavolta N, Frigato M, Zanardi M, Mule R, Lisi L, Gnudi S, Fini M (2002) Brucella spondylitis with paravertebral abscess due to Brucella melitensis infection: a case report. Drugs Exp Clin Res 28:95–98PubMedGoogle Scholar
  77. 77.
    Martinez-Chamorro E, Muñoz EJ, Muñoz Giangaspro E (2002) Focal cerebral involvement by neurobrucellosis: pathological and MRI findings. Eur J Radiol 43:28–30PubMedCrossRefGoogle Scholar
  78. 78.
    Mathisen GE, Johnson JP (1997) Brain abscess. Clin Infect Dis 25:763–779PubMedCrossRefGoogle Scholar
  79. 79.
    Maurice-Williams RS (1987) Experience with ’open evacuation of pus’ in the treatment of intracerebral abscess. Br J Neurosurg 1:343–351PubMedCrossRefGoogle Scholar
  80. 80.
    Miguel PS, Fernández G, Vasallo FJ, Hortas M, Lorenzo JR, Rodriguez I, Ortiz-Rey JA, Anton I (2006) Neurobrucellosis mimicking cerebral tumor: case report and literature review. Clin Neurol Neurosurg 108:404–406PubMedCrossRefGoogle Scholar
  81. 81.
    Misra BK (2011) Management of brain abscess. World Neurosurg 75:612–613CrossRefGoogle Scholar
  82. 82.
    Modi K, Misra V, Reddy P (2008) Rheolytic thrombectomy for dural venous sinus thrombosis. J Neuroimaging 19:366–369PubMedCrossRefGoogle Scholar
  83. 83.
    Moorthy RK, Rajshekhar V (2008) Management of brain abscess: an overview. Neurosurg Focus 24, E3PubMedCrossRefGoogle Scholar
  84. 84.
    Mortimer AM, Bradley MD, O’Leary S, Renowden SA (2013) Endovascular treatment of children with cerebral venous sinus thrombosis: a case series. Pediatr Neurol 49:305–312PubMedCrossRefGoogle Scholar
  85. 85.
    Mückley T, Schütz T, Schmidt MH, Potulski M, Buhren V, Beisse R (2004) The role of thoracoscopic spinal surgery in the management of pyogenic vertebral osteomyelitis. Spine 29:E227–E233PubMedCrossRefGoogle Scholar
  86. 86.
    Mut M, Dinç G, Naderi S (2007) On the report of the first successful surgical treatment of brain abscess in the Ottoman Empire by Dr. Cemil Topuzlu in 1891. Neurosurgery 61:869–872PubMedCrossRefGoogle Scholar
  87. 87.
    Mut M, Hazer B, Narin F, Akalan N, Ozgen T (2009) Aspiration or capsule excision? Analysis of treatment results for brain abscesses at single institute. Turk Neurosurg 19:36–41PubMedGoogle Scholar
  88. 88.
    Muzumdar D (2011) Central nervous system infections and the neurosurgeon: a perspective. Int J Surg 9:113–116PubMedCrossRefGoogle Scholar
  89. 89.
    Muzumdar D, Jhawar S, Goel A (2011) Brain abscess: an overview. Int J Surg 9:136–144PubMedCrossRefGoogle Scholar
  90. 90.
    Nagpal RD (1983) Dural sinus and cerebral venous thrombosis. Neurosurg Rev 6:155–160PubMedCrossRefGoogle Scholar
  91. 91.
    Nakahara I, Taha MM, Higashi T, Iwamuro Y, Iwaasa M, Watanabe Y, Tsunetoshi K, Munemitsu T (2006) Different modalities of treatment of intracranial mycotic aneurysms: report of 4 cases. Surg Neurol 66:405–409PubMedCrossRefGoogle Scholar
  92. 92.
    Nas K, Güre A, Kemaloglu MS, Geyik MF, Cevik R, Büke Y, Ceviz A, Sarac AJ, Aksa Y (2001) Management of spinal brucellosis and outcome of rehabilitation. Spinal Cord 39:223–227PubMedCrossRefGoogle Scholar
  93. 93.
    Nathoo N, Nadvi SS, Narotam PK, van Dellen JR (2011) Brain abscess: management and outcome analysis of a computed tomography era experience with 973 patients. World Neurosurg 75:716–726PubMedCrossRefGoogle Scholar
  94. 94.
    Nathoo N, Narotam PK, Nadvi S, van Dellen JR (2012) Taming an old enemy: a profile of intracranial suppuration. World Neurosurg 77:484–490PubMedCrossRefGoogle Scholar
  95. 95.
    Navdi SS, Parboosing R, Van Dellen JR (1997) Cerebellar abscess: the significance of cerebrospinal fluid diversion. Neurosurgery 41:61–67CrossRefGoogle Scholar
  96. 96.
    Newman CB, Pakbaz RS, Nguyen AD, Kerber CW (2009) Endovascular treatment of extensive cerebral sinus thrombosis. J Neurosurg 110:442–445PubMedCrossRefGoogle Scholar
  97. 97.
    Novati R, Vigano MG, De Bona A, Nocita B, Finazzi R, Lazzarin A (2002) Neurobrucellosis with spinal cord abscess of the dorsal tract: a case report. Int J Infect Dis 6:149–150PubMedCrossRefGoogle Scholar
  98. 98.
    Ozgocmen S, Ardicoglu A, Kocakoc E, Kiris A, Ardicoglu O (2001) Paravertebral abscess formation due to brucellosis in a patient with ankylosing spondylitis. Joint Bone Spine 68:521–524PubMedCrossRefGoogle Scholar
  99. 99.
    Papaioannides D, Giotis C, Korantzopoulos P, Akritidis N (2003) Brucellar spinal epidural abscess. Am Fam Physician 67:2071–2072PubMedGoogle Scholar
  100. 100.
    Philips MF, Bagley LJ, Sinson GP, Raps EC, Galetta SL, Zager EL, Hurst RW (1999) Endovascular thrombolysis for symptomatic cerebral venous thrombosis. J Neurosurg 90:65–71PubMedCrossRefGoogle Scholar
  101. 101.
    Rajshekhar V (1992) Continuous impedance monitoring during CT-guided stereotactic surgery: relative value in cystic and solid lesions. Br J Neurosurg 6:439–444PubMedCrossRefGoogle Scholar
  102. 102.
    Rappaport ZH, Vajda J (2002) Intracranial abscess: current concepts in management. Neurosurg Quart 12:238–250CrossRefGoogle Scholar
  103. 103.
    Rosenblum ML, Hoff JT, Norman D, Weinstein PR, Pitts L (1978) Decreased mortality from brain abscesses since advent of computerized tomography. J Neurosurg 49:658–668PubMedCrossRefGoogle Scholar
  104. 104.
    Sargent P (1928) Remarks on drainage of brain abscess. Br Med J 2:971–972PubMedPubMedCentralCrossRefGoogle Scholar
  105. 105.
    Sarmast AH, Showkat HI, Bhat AR, Kirmani AR, Kachroo MY, Mir SF, Lone YA, Khan AA (2012) Analysis and management of brain abscess; a ten year hospital based study. Turk Neurosurg 22:682–689PubMedGoogle Scholar
  106. 106.
    Sarmast AH, Showkat HI, Kirmani AR, Bhat AR, Patloo AM, Ahmad SR, Khan OM (2012) Aspiration versus excision: a single center experience of forty-seven patients with brain abscess over 10 years. Neurol Med Chir (Tokyo) 52:724–730CrossRefGoogle Scholar
  107. 107.
    Scott JA, Pascuzzi RM, Hall PV, Becker GJ (1988) Treatment of dural sinus thrombosis with local urokinase infusion. Case report. J Neurosurg 68:284–287PubMedCrossRefGoogle Scholar
  108. 108.
    Sendi P, Bregenzer T, Zimmerli W (2008) Spinal epidural abscess in clinical practice. Q J Med 101:1–12CrossRefGoogle Scholar
  109. 109.
    Sharma BS, Gupta SK, Khosla VK (2000) Current concepts in the management of pyogenic brain abscess. Neurol India 48:105–111PubMedGoogle Scholar
  110. 110.
    Sharma BS, Khosla VK, Kak VK, Gupta VK, Tewari MK, Mathuriya SN, Pathak A (1995) Multiple pyogenic brain abscess. Acta Neurochir (Wien) 133:36–43CrossRefGoogle Scholar
  111. 111.
    Shoshan Y, Maayan S, Gomori MJ, Israel Z (1996) Chronic subdural empyema: a new presentation of neurobrucellosis. Clin Infect Dis 23:400–401PubMedCrossRefGoogle Scholar
  112. 112.
    Sindou M, Mercier P, Bokor J, Brunon J (1980) Bilateral thrombosis of the transverse sinuses: microsurgical revascularization with venous bypass. Surg Neurol 13:215–220PubMedGoogle Scholar
  113. 113.
    Sohn AH, Probert WS, Glaser CA, Gupta N, Bollen AW, Wong JD, Grace EM, McDonald WC (2003) Human neurobrucellosis with intracerebral granuloma caused by amarine mammal Brucella spp. Emerg Infect Dis 9:485–488PubMedPubMedCentralCrossRefGoogle Scholar
  114. 114.
    Solaroglu I, Kaptanoglu E, Okutan O, Beskonakli E (2003) Solitary extra-axial posterior fossa abscess due to neurobrucellosis. J Clin Neurosci 10:710–712PubMedCrossRefGoogle Scholar
  115. 115.
    Soleau SW, Schmidt R, Stevens S, Osborn A, MacDonald JD (2003) Extensive experience with dural sinus thrombosis. Neurosurgery 52:534–544PubMedCrossRefGoogle Scholar
  116. 116.
    Solera J, Lozano E, Martinez-Alfaro E, Espinosa A, Castilejos ML (1999) Brucellar spondylitis: review of 35 cases and literature survey. Clin Infect Dis 29:1440–1449PubMedCrossRefGoogle Scholar
  117. 117.
    Solera J, Martinez-Alfaro E, Espinosa A (1997) Recognition and optimum treatment of brucellosis. Drugs 53:245–256PubMedCrossRefGoogle Scholar
  118. 118.
    Song KJ, Yoon SJ, Lee KB (2012) Cervical spinal brucellosis with epidural abscess causing neurologic deficit with negative serologic tests. World Neurosurg 78(375):375e15–375e19Google Scholar
  119. 119.
    Stam J, Majoie CBLM, van Delden OM, van Lienden KP, Reekers JA (2008) Endovascular thrombectomy and thrombolysis for severe cerebral sinus thrombosis: a prospective study. Stroke 39:1487–1490PubMedCrossRefGoogle Scholar
  120. 120.
    Starakis I, Solomou K, Konstantinou D, Karatza C (2009) Brucellosis presenting as spinal epidural abscess in a 41-year-old farmer: a case report. Cases J 2:7614PubMedPubMedCentralCrossRefGoogle Scholar
  121. 121.
    Stranjalis G, Singounas E, Boutsikakis I, Saroglou G (2000) Chronic intracerebral Brucella abscess. J Neurosurg 92:189PubMedCrossRefGoogle Scholar
  122. 122.
    Tabatabai SA, Saberi H, Mehrazin M (2000) Intracranial suppuration following neurosurgical procedures due to brucella species. Med J Islamic Republic Iran 14:97–100Google Scholar
  123. 123.
    Tan WM, Adnan JS, Mohamad Haspani MS (2010) Treatment outcome of superficial cerebral abscess: an analysis of two surgical methods. Malays J Med Sci 17:23–29PubMedPubMedCentralGoogle Scholar
  124. 124.
    Tekkok IH, Berker M, Ozcan OE, Ozgen T, Akalin E (1993) Brucellosis of the spine. Neurosurgery 33:838–844PubMedGoogle Scholar
  125. 125.
    Tur SB, Suldur N, Ataman S, Ozturk EA, Bingol A, Atay MB (2004) Brucellar spondylitis: a rare case of spinal cord compression. A case report. Spinal Cord 42:321–324PubMedCrossRefGoogle Scholar
  126. 126.
    Turgut M, Çullu E, Sendur OF, Gulcan G (2004) Brucellar spine infection. Neurol Med Chir 44:562–567CrossRefGoogle Scholar
  127. 127.
    Turgut M, Sendur OF, Gurel M (2003) Brucellar spondylodiscitis in the lumbar region. Case report. Neurol Med Chir 43:210–212CrossRefGoogle Scholar
  128. 128.
    Turgut M, Turgut AT, Kosar U (2006) Spinal brucellosis: Turkish experience based on 452 cases published during the last century. Acta Neurochir 148:1033–1044PubMedCrossRefGoogle Scholar
  129. 129.
    Ugarizza LF, Porras LF, Lorenzana LM, Rodriguez-Sanchez JA, Garcia-Yague LM, Cabezudo JM (2005) Brucellar spinal epidural abscesses. Analysis of eleven of cases. Br J Neurosurg 19:235–240CrossRefGoogle Scholar
  130. 130.
    Vajramani GV, Nagmoti MB, Patil CS (2005) Neurobrucellosis presenting as an intra-medullary spinal cord abscess. Ann Clin Microbiol Antimicrob 4:14PubMedPubMedCentralCrossRefGoogle Scholar
  131. 131.
    Wakamoto H, Tomita H, Tabuse M, Miyazaki H, Ishiyama N (2001) Aspiration and drainage for a gas-producing brain abscess causing delayed bleeding from the abscess capsule. A case report. No Shinkei Geka 29:445–449PubMedGoogle Scholar
  132. 132.
    Yetkin MA, Bulut C, Erdinc FS, Oral B, Tulek N (2006) Evaluation of the clinical presentations in neurobrucellosis. Int J Infect Dis 10:446–452PubMedCrossRefGoogle Scholar
  133. 133.
    Yuksel KZ, Senoglu M, Yuksel M, Gul M (2006) Brucellar spondylodiscitis with rapidly progressive spinal epidural abscess presenting with sciatica. Spinal Cord 44:805–808PubMedCrossRefGoogle Scholar
  134. 134.
    Zaidan R, Al Tahan AR (1999) Cerebral venous thrombosis: a new manifestation of neurobrucellosis. Clin Infect Dis 28:399–400PubMedCrossRefGoogle Scholar
  135. 135.
    Zakaria AH, Al-share B, Al-Yacoub MA (2014) Acute spinal syndrome due to thoracic vertebral brucellosis: a case report. J Neuroinfect Dis 5:2Google Scholar
  136. 136.
    Zhang A, Collinson RL, Hurst RW, Weigele JB (2008) Rheolytic thrombectomy for cerebral sinus thrombosis. Neurocrit Care 9:17–26PubMedCrossRefGoogle Scholar
  137. 137.
    Zormpala A, Skopelitis E, Thanos L, Artinopoulos C, Kordossis T, Sipsas NV (2000) An unusual case of brucellar spondylitis involving both the cervical and lumbar spine. Clin Imaging 24:273–275PubMedCrossRefGoogle Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Xenophon Sinopidis
    • 1
    Email author
  • Mehmet Turgut
    • 2
  • Stylianos Roupakias
    • 1
  • Ahmet Tuncay Turgut
    • 3
  • Oreste de Divitiis
    • 4
  1. 1.Department of Pediatric SurgeryUniversity of PatrasPatrasGreece
  2. 2.Department of NeurosurgeryAdnan Menderes University School of MedicineAydınTurkey
  3. 3.Department of RadiologyHacettepe University School of MedicineAnkaraTurkey
  4. 4.Department of Neurosciences, Reproduction and Odontostomatological Sciences, School of Medicine and SurgeryUniversity of Naples Federico IINaplesItaly

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