Boot E M, Hanny K H, Meijer F J A, van Eijk J J J
Radboudumc, Nijmegen.
Ned Tijdschr Geneeskd. 2017;161:D690.
A 72-year-old woman who recently had been treated with metronidazole presented with subacute dysarthria, gait ataxia and encephalopathy with severe anxiety. Head MRI showed symmetrical T2-hyperintensities. Under suspicion of a metronidazole-induced encephalopathy, metronidazole was stopped immediately. The patient recovered completely and follow-up MRI showed complete resolution of T2-hyperintensities.
一名72岁女性近期接受了甲硝唑治疗,出现亚急性构音障碍、步态共济失调和伴有严重焦虑的脑病。头部磁共振成像(MRI)显示对称的T2高信号。怀疑为甲硝唑诱发的脑病,立即停用甲硝唑。患者完全康复,随访MRI显示T2高信号完全消失。