J Korean Neurol Assoc.  2018 Nov;36(4):322-324. 10.17340/jkna.2018.4.9.

Oculogyric Crisis Due to Metronidazole Toxic Encephalopathy

Affiliations
  • 1Department of Neurology, Soonchunhyang University Bucheon Hospital, Bucheon, Korea. parkgene@schmc.ac.kr

Abstract

Oculogyric crisis is an acute dystonia involving ocular muscles characterized by sustained conjugate upward or lateral deviation of the eyes. Metronidazole is a commonly used antimicrobial agent in treatment of anaerobic infections. However, its long-term use can cause toxic encephalopathy particularly in patients with hepatic dysfunction. Here, we describe a case of oculogyric crisis as a presenting manifestation of metronidazole-induced encephalopathy.

Keyword

Metronidazole; Encephalopathy; Dystonia

MeSH Terms

Brain Diseases
Dystonia
Humans
Metronidazole*
Muscles
Neurotoxicity Syndromes*
Metronidazole
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