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Question
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A 56-year-old man with a history of treated liver abscess 1 month ago presents with vertigo, gait ataxia and tremors. MRI is as shown below. What is the diagnosis?
Explanation
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Metronidazole is well known to cause brain toxicity irrespective of the dose and duration of intake<br>Neurologic toxicity has been reported, especially if the dosage exceeds 2 grams per day for a prolonged period or if the cumulative dose exceeds 20 gramsIn<br> an acute setting, metronidazole toxicity typically presents with cerebellar dysfunction (75% of cases), confusion and altered sensorium (33%), and seizures (13%). On MR imaging, 93100% of cases show involvement of the cerebellum, particularly at the dentate nuclei regions<br>The corpus callosum, midbrain, pons, and medulla are among the less-involved locations.
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Option 1
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Is Correct (Option 1):
Brain Abscess
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Option 2
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Is Correct (Option 2):
Post infectious demyelination
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Option 3
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Is Correct (Option 3):
Metronidazole toxicity
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Option 4
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Is Correct (Option 4):
FXATS
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