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Case No. 554
2020-05-01~2020-05-31
출제자 : 이아름
Hit : 612
| Period | 2020-05-01~2020-05-31 |
|---|---|
| Diagnosis | Metronidazole toxic encephalopathy |
| Gender |
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| Age | 55 |
| Clinical information | 55/M C.C: Acute dysarthria, Gait disturbance History: Liver cirrhosis, peritonitis 진단은? |
| Discussion | MR findings 1) typical: bilateral and symmetric, typically located at the cerebellar dentate nuclei, dorsal medulla, dorsal pons, midbrain, and splenium of the corpus callosum 2) Uncommon lesion: inferior olivary nucleus of the medulla and white matter of the cerebral hemispheres 3) Mostly vasogenic edema on DWI, but some lesion in corpus callosum shows diffusion restriction (cytotoxic edema) Reference: MR Imaging of Metronidazole-Induced Encephalopathy: Lesion Distribution and Diffusion-Weighted Imaging Findings, AJNR, Oct. 2007, E. Kim et al. |
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