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J Korean Neurosurg Soc. 2012 Jun;51(6):383-387. English. Case Report.
Ekici MA , Ozbek Z , Gokoglu A , Menku A .
Department of Neurosurgery, Sevket Yilmaz Training and Research Hospital, Mimar Sinan Ward. Emniyet Avenue, Bursa, Turkey. mehmetali.ekici@gmail.com
Department of Neurosurgery, Yunus Emre State Hospital, Salih Bozok Avenue, EskiSehir, Turkey.
Department of Neurosurgery, Erciyes University, Medical School, Talas Avenue, Kayseri, Turkey.
Abstract

Spinal epidural abscess, if especially caused by Brucellosis is a very rare disease which is usually a consequence of spondylodiscitis. The spinal column can be affected at any joint; however, the lumbar spine is the most common region, especially at the level of the L4-5 and L5-S1. The frequency of spinal involvement usually seen at the lumbar, thoracic and cervical spine respectively. As an occupational disease in farmers, veterinaries, butchers, laboratory staff and shepherds, brucellosis can also occur by direct contact to animals and infected materials or ingestion of raw cheese, milk or unpasteurized milk products. In this study, we presented two cases with cervical spinal epidural abscess caused by brucella melitensis, which was successfully treated by surgical approach. Initial treatment was combined with antibiotic therapy after the surgery for 3 months.

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