Day 2 - Case 8

Dimitrios Makrakis1, Stefanos Veneris1, Thomas Maris2, Eleftherios Kavroulakis1, Efrosini Papadaki1
1Department of Radiology, University Hospital of Heraklion, Crete, Greece
2Department of Neurology, Venizeleion Hospital of Heraklion, Crete, Greece

Clinical history:
A 39-year-old female patient with a history of recently treated infective endocarditis, presented with confusion, memory loss, vertigo and aggravating “slurring” of speech. Neurologic examination revealed acute cerebellar syndrome with dysarthria, bilateral dysmetria and lateral gaze-evoked nystagmus. Blood, urine and CSF tests were normal.

Possible answers
  • Wernicke encephalopathy
  • Metronidazole-induced encephalopathy
  • Methyl bromide intoxication
  • Maple syrup urine disease
  • Enteroviral encephalomyelitis

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