Metronidazole-induced cerebellar toxicity

Metronidazole is a very common antibacterial and antiprotozoal with wide usage across the globe, including the least developed countries. It is generally well-tolerated with a low incidence of serious side-effects. Neurological toxicity is fairly common with this drug, however majority of these are...

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Main Authors: Amit Agarwal, Sangam Kanekar, Shyam Sabat, Krishnamurthy Thamburaj
Format: Article
Language:English
Published: MDPI AG 2016-04-01
Series:Neurology International
Subjects:
Online Access:http://www.pagepress.org/journals/index.php/ni/article/view/6365
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author Amit Agarwal
Sangam Kanekar
Shyam Sabat
Krishnamurthy Thamburaj
author_facet Amit Agarwal
Sangam Kanekar
Shyam Sabat
Krishnamurthy Thamburaj
author_sort Amit Agarwal
collection DOAJ
description Metronidazole is a very common antibacterial and antiprotozoal with wide usage across the globe, including the least developed countries. It is generally well-tolerated with a low incidence of serious side-effects. Neurological toxicity is fairly common with this drug, however majority of these are peripheral neuropathy with very few cases of central nervous toxicity reported. We report the imaging findings in two patients with cerebellar dysfunction after Metronidazole usage. Signal changes in the dentate and red nucleus were seen on magnetic resonance imaging in these patients. Most of the cases reported in literature reported similar findings, suggesting high predilection for the dentate nucleus in metronidazole induced encephalopathy.
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spelling doaj.art-59ac069e924f4d8aa9054c2800b730f22023-08-02T04:08:51ZengMDPI AGNeurology International2035-83852035-83772016-04-018110.4081/ni.2016.63653310Metronidazole-induced cerebellar toxicityAmit Agarwal0Sangam Kanekar1Shyam Sabat2Krishnamurthy Thamburaj3Department of Radiology, Penn State University, Hershey Medical Center, PADepartment of Radiology, Department of Neurology, Penn State University, Hershey Medical Center, PADepartment of Radiology, Penn State University, Hershey Medical Center, PADepartment of Radiology, Penn State University, Hershey Medical Center, PAMetronidazole is a very common antibacterial and antiprotozoal with wide usage across the globe, including the least developed countries. It is generally well-tolerated with a low incidence of serious side-effects. Neurological toxicity is fairly common with this drug, however majority of these are peripheral neuropathy with very few cases of central nervous toxicity reported. We report the imaging findings in two patients with cerebellar dysfunction after Metronidazole usage. Signal changes in the dentate and red nucleus were seen on magnetic resonance imaging in these patients. Most of the cases reported in literature reported similar findings, suggesting high predilection for the dentate nucleus in metronidazole induced encephalopathy.http://www.pagepress.org/journals/index.php/ni/article/view/6365Metronidazoledentatetoxicitymagnetic resonance imaging
spellingShingle Amit Agarwal
Sangam Kanekar
Shyam Sabat
Krishnamurthy Thamburaj
Metronidazole-induced cerebellar toxicity
Neurology International
Metronidazole
dentate
toxicity
magnetic resonance imaging
title Metronidazole-induced cerebellar toxicity
title_full Metronidazole-induced cerebellar toxicity
title_fullStr Metronidazole-induced cerebellar toxicity
title_full_unstemmed Metronidazole-induced cerebellar toxicity
title_short Metronidazole-induced cerebellar toxicity
title_sort metronidazole induced cerebellar toxicity
topic Metronidazole
dentate
toxicity
magnetic resonance imaging
url http://www.pagepress.org/journals/index.php/ni/article/view/6365
work_keys_str_mv AT amitagarwal metronidazoleinducedcerebellartoxicity
AT sangamkanekar metronidazoleinducedcerebellartoxicity
AT shyamsabat metronidazoleinducedcerebellartoxicity
AT krishnamurthythamburaj metronidazoleinducedcerebellartoxicity