EURORAD ESR

Case 15996

Metronidazole induced encephalopathy: Case report and review literature.

Author(s)
Javier Martínez Ollero; Juan Carlos Jurado; Beatriz Sastre Borregón, Carlos Marco Schulke; Lucía Gil Abadía.

; Email:javierollero@hotmail.com
 
Patient
male, 59 year(s)
 
 
  • Figure 1
    T2W and FLAIR MRI
     

    T2W MRI shows bilateral and symmetrical hyper-intensities in the areas of cerebellar dentate nucleus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI shows bilateral and symmetrical hyper-intensities in the areas of cerebellar dentate nucleus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 2
    T2W and FLAIR MRI
     

    T2W MRI shows a hyper-intensity in the left front subcortical white matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI shows a hyper-intensity in the left front subcortical white matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    T2W MRI shows a hyper-intensity in the splenium of the corpus callosum. White matter hyper-intensities because of chronic small vessel disease.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI shows a hyper-intensity in the splenium of the corpus callosum. White matter hyper-intensities because of chronic small vessel disease.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    T2W MRI shows hyper-intensities in the periaqueductal region in midbrain and inferior colliculus. Ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and remains of hemosiderin.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI shows hyper-intensities in the periaqueductal region in midbrain and inferior colliculus. Ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and remains of hemosiderin.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 3
    DWI MRI
     

    DWI MRI shows high signal in cerebellar dentate nucleus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI shows high signal in splenium of the corpus callosum.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI shows high signal in left front subcortical white matter.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI shows high signal in periaqueductal region in midbrain and inferior colliculus. Sorry. Changes because of the ancient haemorrhagic stroke in the left occipitotemporal gyrus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 4
    FLAIR MRI five days after stopping metronidazole
     

    FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the white matter hyper-intensities because of chronic small vessel disease.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
  • Figure 5
    DWI MRI five days after stopping metronidazole
     

    DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;

    DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the changes because of the ancient haemorrhagic stroke in the left occipitotemporal gyrus.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Acute;
     
     
T2W MRI shows bilateral and symmetrical hyper-intensities in the areas of cerebellar dentate nucleus.
 
FLAIR MRI shows bilateral and symmetrical hyper-intensities in the areas of cerebellar dentate nucleus.
 
T2W MRI shows a hyper-intensity in the left front subcortical white matter.
 
FLAIR MRI shows a hyper-intensity in the left front subcortical white matter.
 
T2W MRI shows a hyper-intensity in the splenium of the corpus callosum. White matter hyper-intensities because of chronic small vessel disease.
 
FLAIR MRI shows a hyper-intensity in the splenium of the corpus callosum. White matter hyper-intensities because of chronic small vessel disease.
 
T2W MRI shows hyper-intensities in the periaqueductal region in midbrain and inferior colliculus. Ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and remains of hemosiderin.
 
FLAIR MRI shows hyper-intensities in the periaqueductal region in midbrain and inferior colliculus. Ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and remains of hemosiderin.
 
DWI MRI shows high signal in cerebellar dentate nucleus.
 
DWI MRI shows high signal in splenium of the corpus callosum.
 
DWI MRI shows high signal in left front subcortical white matter.
 
DWI MRI shows high signal in periaqueductal region in midbrain and inferior colliculus. Sorry. Changes because of the ancient haemorrhagic stroke in the left occipitotemporal gyrus.
 
FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.
 
FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the white matter hyper-intensities because of chronic small vessel disease.
 
FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.
 
FLAIR MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the ancient haemorrhagic stroke in the left occipitotemporal gyrus with dead brain tissue and remains of hemosiderin.
 
DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.
 
DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.
 
DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas.
 
DWI MRI, five days after stopping metronidazole, shows a signal decrease in the previously affected areas. Persist the changes because of the ancient haemorrhagic stroke in the left occipitotemporal gyrus.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version