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Background Magnetic resonance imaging (MRI) is a non-invasive test with a low complication rate even when using contrast agents. Nevertheless, even routine examinations can cause serious complications, as this case illustrates. Case presentation Approximately one minute after receiving an intravenous contrast agent containing gadoteric acid (Dotarem®), a woman suffered a generalised seizure and lost. Interpretation Anaphylactic shock can occur as a rare complication of MRI with contrast enhancement. The examination should not be performe