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http://dx.doi.org/10.13104/imri.2018.22.3.200

A Case of Metronidazole-Induced Encephalopathy: Atypical Involvement of the Brain on MRI  

Hwang, Eunjin (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
Chang, Suk-Ki (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
Lee, Seun-Ah (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
Choi, Jung-Ah (Department of Radiology, Hallym University Dongtan Sacred Heart Hospital)
Publication Information
Investigative Magnetic Resonance Imaging / v.22, no.3, 2018 , pp. 200-203 More about this Journal
Abstract
Metronidazole is an antimicrobial agent widely used for the treatment of anaerobic infection or antibiotics-associated diarrhea. It is generally thought to be safe, but can induce reversible toxic encephalopathy in the case of excessive or cumulative over-dose. Metronidazole-induced encephalopathy generally demonstrates the characteristic features of typical lesion location and bilaterality on magnetic resonance imaging (MRI). We report a case of metronidazole-induced encephalopathy with the involvement of asymmetric white matter. To our knowledge, only a few cases have been reported with respect to white matter lesion characteristics on MRI with diffusion-weighted images.
Keywords
Metronidazole; White matter abnormality; Magnetic resonance imaging;
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