WebMetronidazole can rarely cause central nervous system toxicity; it does not seem to be a dose- or duration-related phenomenon. Most patients will have MRI abnormalities. … It presents as cerebellar dysfunction (75% of cases), altered mental state (33%) and/or seizures (13%) 1. The potential for neurotoxicity of metronidazole has been recognized for some time 2. Among patients with cerebellar dysfunction, dysarthria (66%) and ataxia (56%) are common; dysmetria (33%) nystagmus … See more In a review of the case literature 1, affected patients range widely in age, with the peak incidence occurring in the fifth and sixth decades. The most common indication for metronidazole treatment among affected … See more Nearly all cases show lesions in the cerebellum (93-100%)1,3, particularly of the cerebellar dentate nuclei. There is slightly less frequent involvement of corpus callosum, … See more Possible imaging differential considerations include 1. Wernicke encephalopathy 2. isoniazid toxicity See more After discontinuation of metronidazole the majority of cases either improve (29%) or have complete resolution of symptoms (65%). A very small minority (3%) experience … See more
Metronidazole-Induced Central Nervous System Toxicity
WebJan 28, 2024 · Objectives: Recent trials with craniospinal irradiation (CSI) via helical Tomotherapy (HT) demonstrated encouraging medulloblastoma results. In this study, we assess the toxicity profile of different radiation techniques and estimate survival rates. Materials and Methods: We reviewed the records of 46 patients who underwent … Web•CNS toxicity is a rare, but potentially devastating side effect of metronidazole exposure •Metronidazole CNS adverse effects generally include: •Cerebellar dysfunction (ataxia, dysarthria, dysmetria, nystagmus) •Altered mental status •Seizures •Treatment of CNS toxicity includes discontinuation of ts3 themen
Metronidazole: An overview - UpToDate
WebDec 1, 2024 · Metronidazole is one of the mainstay drugs for the treatment of anaerobic infections . It is approved by the US Food and Drug Administration for the treatment of anaerobic and protozoal infections. ... Central nervous system toxicity associated with metronidazole therapy. Ann Intern Med 1980; 93:59. Lamp KC, Freeman CD, Klutman … WebNational Center for Biotechnology Information ts3 text to speech