Previously reported available cases of intramedullary brucellosis in the English literature are summarized in Table 16.1. As shown in Table 16.1, systemic brucellosis was present in all cases suffering from intramedullary involvement [1, 2, 6, 7, 9–11, 14, 15, 19]. The reported lesions were generally abscesses except three cases [1, 14, 15]. The most common site for involvement was the thoracic and upper cervical spinal cord. Keihani-Douste et al. [9] reported a case of multilevel cervicothoracic spinal cord lesion with concurrent multiple brain abscesses. Isolated cervical intramedullary involvement was reported by Nas et al. [10], Hendam et al. [7], Tufan et al. [15], and Talı et al. [14]. Brucella abortus and B. melitensis were the identified pathogens in all the available cases. Blood serology was positive in all cases except the cases of Cokca et al. [2] and Talı et al. [14].