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A diagnosis of metronidazole-induced encephalopathy was suspected. Metronidazole was stopped and the patient completely recovered. Metronidazole is a commonly prescribed medication. Clinicians should be aware of the clinical and radiological presentation of metronidazole-induced encephalopathy so that this serious but completely reversible condition can be promptly diagnosed.<\/jats:p>","DOI":"10.1136\/bcr-2012-007688","type":"journal-article","created":{"date-parts":[[2013,1,3]],"date-time":"2013-01-03T08:10:10Z","timestamp":1357200610000},"page":"bcr2012007688","source":"Crossref","is-referenced-by-count":5,"title":["Walking unsteadily: a case of acute cerebellar ataxia"],"prefix":"10.1136","volume":"2013","author":[{"given":"Federico","family":"Simonetta","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fotini","family":"Christou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Riccardo E","family":"Vandoni","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Nierle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2013,1,2]]},"reference":[{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.1","doi-asserted-by":"crossref","first-page":"1279","DOI":"10.1212\/01.WNL.0000156835.12492.30","article-title":"Methyl bromide intoxication causes reversible symmetric brainstem and cerebellar MRI lesions","volume":"64","author":"Geyer","year":"2005","journal-title":"Neurology"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.2","doi-asserted-by":"publisher","DOI":"10.1007\/s00234-003-0955-7"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.3","first-page":"1889","article-title":"MR imaging findings of enteroviral encephalomyelitis: an outbreak in Taiwan","volume":"20","author":"Shen","year":"1999","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.4","first-page":"1480","article-title":"Wernicke's encephalopathy: atypical manifestation at MR imaging","volume":"22","author":"Bae","year":"2001","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.5","doi-asserted-by":"crossref","first-page":"588","DOI":"10.1212\/WNL.45.3.588","article-title":"Reversible magnetic resonance imaging findings in metronidazole-induced encephalopathy","volume":"45","author":"Ahmed","year":"1995","journal-title":"Neurology"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200201033460117"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.7","doi-asserted-by":"publisher","DOI":"10.3174\/ajnr.A0655"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.8","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.60.12.1796"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.9","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-88-3-361"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.2.6087.610"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.11","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1176\/ajp.134.3.329-d","article-title":"Side effects of metronidazole","volume":"134","author":"Giannini","year":"1977","journal-title":"Am J Psychiatry"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.12","doi-asserted-by":"crossref","first-page":"59","DOI":"10.7326\/0003-4819-93-1-59","article-title":"Central nervous system toxicity associated with metronidazole therapy","volume":"93","author":"Kusumi","year":"1980","journal-title":"Ann Intern Med"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.13","doi-asserted-by":"crossref","first-page":"11731","DOI":"10.1016\/S0021-9258(18)60872-5","article-title":"Generation of nitro radical anions of some 5-nitrofurans, 2- and 5-nitroimidazoles by norepinephrine, dopamine, and serotonin. A possible mechanism for neurotoxicity caused by nitroheterocyclic drugs","volume":"262","author":"Rao","year":"1987","journal-title":"J Biol Chem"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.14","first-page":"1615","article-title":"MR imaging and diffusion-weighted imaging changes in metronidazole (Flagyl)-induced cerebellar toxicity","volume":"4","author":"Heaney","year":"2003","journal-title":"AJNR Am J Neuroradiol"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.15","doi-asserted-by":"publisher","DOI":"10.1097\/WNF.0b013e3182334b35"},{"key":"2025042701303885000_2013.jan02_1.bcr2012007688.16","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(11)60996-3"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2012-007688","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,27]],"date-time":"2025-04-27T08:30:49Z","timestamp":1745742649000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2012-007688"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,1,2]]},"references-count":16,"alternative-id":["10.1136\/bcr-2012-007688"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2012-007688","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2013,1,2]]}}}