Good outcome after posterior reversible encephalopathy syndrome (PRES) despite elevated cerebral lactate: a case report

Acta Radiologica Open
Caroline EwertsenCarsten Thomsen

Abstract

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.

References

Feb 12, 2013·American Journal of Obstetrics and Gynecology·Justin BrewerJames N Martin

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Citations

Mar 29, 2020·Frontiers in Neurology·Nasim Sheikh-BahaeiPaul E Kim

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Methods Mentioned

BETA
Cesarean section

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