Good outcome after posterior reversible encephalopathy syndrome (PRES) despite elevated cerebral lactate: a case report.
Posterior reversible encephalopathy syndrome (PRES) may cause irreversible brain damage. The diagnosis is confirmed by magnetic resonance imaging (MRI), where vasogenic edema may be seen especially in the posterior parts of the brain. MR spectroscopy (MRS) may be included to help predict the outcome by measuring selected metabolites for instance lactate. Usually lactate is immeasurable in brain tissue, but elevates in cases of hypoxia, and it has been associated with poor outcome. We report a case of a patient with eclampsia and PRES, who had elevated lactate initially, but complete remission clinically and on MRI.
Department of Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Caroline
C
Ewertsen
Department of Neurology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Daniel
D
Kondziella
Department of Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Else R
ER
Danielsen
Department of Radiology, Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.
Carsten
C
Thomsen
Magnetic resonance spectroscopy; brain; brain stem; central nervous system