A Case of MRI Negative Metronidazole-Induced Encephalopathy and Recovery of Electroencephalography at Follow-Up

Abstract

Metronidazole-induced encephalopathy (MIE) is an uncommon disease, presenting potentially with reversible acute developing encephalopathy due to the use of metronidazole. A 68-year-old female presented with a history of 1-week progressive confusion under metronidazole treatment. After discontinuation of metronidazole, her consciousness nearly totally recovered and normalization of electroencephalography (EEG) findings was ensured. On the basis of this patient, the diagnosis of MIE will be emphasized even in circumstances of negative magnetic resonance imaging (MRI) results. Dramatic recovery of EEG findings after treatment (solely discontinuation of metronidazole) will be demonstrated.




J Neurol Res. 2016;6(4):81-84
doi: http://dx.doi.org/10.14740/jnr386w