A case of toxic encephaloneuropathy during treatment with nimorazole

5-nitroimidazoles (5-NI) are pharmacologically diverse drugs used mainly for anaerobic and parasitic infections. Metronidazole is the most widely used 5-NI and has rare neurotoxic effects, including cerebellar and brainstem dysfunction, encephalopathy, and seizures. Other (5-NI) have been studied as hypoxic cell radiosensitizers but are limited by dose-dependent side effects. Nimorazole is in use in Denmark for head-and-neck cancer and is considered safe. No cases of nimorazole-induced neurotoxicity like Metronidazole encephalopathy have been published. In this case, we report a patient who developed toxic encephaloneuropathy during nimorazole radiosensitisation.

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Journal
Ugeskrift for Læger
Published
2025-07-14
DOI
https://doi.org/10.61409/v12240878
Primary Topic
Infectious Encephalopathies and Encephalitis
Type
article
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article

A case of toxic encephaloneuropathy during treatment with nimorazole

Shanga Hassan Qadir, Ruta Jakubauskaite, Emilie Lund Laursen
Ugeskrift for Læger
Infectious Encephalopathies and Encephalitis
article

A case of toxic encephaloneuropathy during treatment with nimorazole

Shanga Hassan Qadir, Ruta Jakubauskaite, Emilie Lund Laursen
article en

Abstract

5-nitroimidazoles (5-NI) are pharmacologically diverse drugs used mainly for anaerobic and parasitic infections. Metronidazole is the most widely used 5-NI and has rare neurotoxic effects, including cerebellar and brainstem dysfunction, encephalopathy, and seizures. Other (5-NI) have been studied as hypoxic cell radiosensitizers but are limited by dose-dependent side effects. Nimorazole is in use in Denmark for head-and-neck cancer and is considered safe. No cases of nimorazole-induced neurotoxicity like Metronidazole encephalopathy have been published. In this case, we report a patient who developed toxic encephaloneuropathy during nimorazole radiosensitisation.

Ugeskrift for LægerVol. 187(29)
Rigshospitalet (DK)
Good health and well-being
Openalex Percentile: Top 77%
Infectious Encephalopathies and Encephalitis
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A case of toxic encephaloneuropathy during treatment with nimorazole — Shanga Hassan Qadir, Ruta Jakubauskaite, et al. · Ugeskrift for Læger (2025) | TGRS Research Map | TGRS