DOI: 10.36347/sjmcr.2016.v04i12.011

Pages: 915-916

Posterior reversible encephalopathy syndrome (PRES) is also known as Reversible posterior leukoencephalopathy syndrome. It presents with rapid onset of symptoms, including headache, seizures, altered consciousness, and visual disturbance. A 23 years old female with Preeclampsia presented with the complaints of sudden onset of bilateral vision loss. On examination both anterior and posterior segments were normal with normal direct and consensual pupillary reactions. MRI was done which showed bilateral, symmetrical, hyper dense lesions in both Occipital lobes. The case was kept under observation and managed with antihypertensives. PRES is often unsuspected by clinicians. Recognition of the characteristic imaging findings by radiologists is key to diagnosis and should prevent deleterious work-ups or therapies.