Good outcome after posterior reversible encephalopathy syndrome (PRES) despite elevated cerebral lactate: a case report
| Autor: | Daniel Kondziella, Carsten Thomsen, Else Rubæk Danielsen, Caroline Ewertsen |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
In vivo magnetic resonance spectroscopy
Pathology medicine.medical_specialty Eclampsia medicine.diagnostic_test business.industry brain Central nervous system Magnetic resonance imaging Posterior reversible encephalopathy syndrome Case Report General Medicine Brain damage Hypoxia (medical) medicine.disease central nervous system medicine.anatomical_structure Magnetic resonance spectroscopy Medicine medicine.symptom Good outcome business brain stem |
| Zdroj: | Acta Radiologica Open |
| ISSN: | 2058-4601 |
| Popis: | 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. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|