Neurobrucellosis is an uncommon complication of brucellosis. The clinical features vary greatly and, tend to be chronic. Many laboratory procedures are usually employed in the diagnosis of neurobrucellosis. It is essential to perform serological tests in both serum and cerebrospinal fluid in suspected patients. Neurobrucellosis occurs in 5%-25% of patients with brucellosis. Meningitis, myelitis, stroke, intracerebral abscess, demyelination and cranial nerve involvement or any combination of these pathological signs are the most common features of neurobrucellosis. Spastic paraparesis has also been reported in the literature. Herein, we present a 47-year-old male patient with spastic paraparesis without any sign on cranial, cervical and thoracal magnetic resonance images. Neurobrucellosis should be ruled out in patients with unexplained neurological symptoms in endemic areas.
Keywords: Neurobrucellosis, spastic paraparesis