In patients with an impaired state of consciousness, EEG is fundamental, a correct neurological work-up. Cephalosporins have been identified as a case of triphasic waves' (TW) reversible encephalopathy. We report a case of an acute reversible encephalopathy with TWs during treatment with cefoperazone. We report the occurrence and regression of a confusional state with TWs encephalopathy at EEG after the administration of cefoperazone for urinary tract infection in a patient admitted for syncope. In conclusion, cefoperazone should be considered as a cause of toxic encephalopathy with EEG TWs, when there is a temporal relationship with its administration; EEG monitoring is useful in the neurological follow-up. © Springer-Verlag 2010.
Reversible encephalopathy induced by cefoperazone: a case report monitored with EEG / Stefano, Pro; F., Randi; Patrizia, Pulitano; E., Vicenzini; Mecarelli, Oriano. - In: NEUROLOGICAL SCIENCES. - ISSN 1590-1874. - STAMPA. - 32:3(2011), pp. 465-467. [10.1007/s10072-010-0425-z]
Reversible encephalopathy induced by cefoperazone: a case report monitored with EEG
MECARELLI, Oriano
2011
Abstract
In patients with an impaired state of consciousness, EEG is fundamental, a correct neurological work-up. Cephalosporins have been identified as a case of triphasic waves' (TW) reversible encephalopathy. We report a case of an acute reversible encephalopathy with TWs during treatment with cefoperazone. We report the occurrence and regression of a confusional state with TWs encephalopathy at EEG after the administration of cefoperazone for urinary tract infection in a patient admitted for syncope. In conclusion, cefoperazone should be considered as a cause of toxic encephalopathy with EEG TWs, when there is a temporal relationship with its administration; EEG monitoring is useful in the neurological follow-up. © Springer-Verlag 2010.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
