Serum lactate dehydrogenase as early marker of posterior reversible encephalopathy syndrome: keep your eyes open.

摘要

Posterior reversible encephaiopatliy syndrome (PRES) is associated with many clinical conditions including pre-eclampsia/eclampsia. So far, this association has been explained mainly in terms of blood pressure variation, failure of cerebral vasculature autoregulatory mechanism and brain oedema. However, it is well known the main mechanism in pre-eclampsia is the endothelial activation and injury with systemic consequences, i.e. vasoconstrictionv_ instable blood pressure and abnormal response to vasopressors3.