Posterior reversible encephalopathy syndrome
Patient presented with generalised tonic-clonic seizure to the ER. History revealed long standing uncontrolled hypertension. His BP was 265/160mmHg.
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Bilateral white matter hyperintensities affecting the posterior head region consistent with posterior reversible encephalopathy syndrome (PRES).
2 days later,patient continued to complain of headaches and appeared confused.
Gradually, BP was controlled and he showed clinical improvement.