Abstract

Posterior reversible encephalpathy is a neurological condition with clinico- radiological- diagnosis characterized with headache, confusion, seizure, visual disturbance.Clinical and imaging characteristics are usually reversible. 24 year old male patient with a history of consumption of alcohol, last drink 1 day back, presented to department with one episode of seizure,on day 2 complain of loss of vision with BP:166/102 mmhg PR = 114 bpm and other neurological examinations are within the normal limit. Non contrast MRI shows diffuse oedema noted in the bilateral cerebral hemispheres predominantly in the bilateral occipital lobes continued alcohol withdrawal treatment and started on antihypertensive medication improved well and discharged on day 9. Posterior reversible encephalpathy is the clinico- radiological- diagnosis with exact pathophysiology of PRES in alcohol withdrawal is still not clear, treatment is symptomatic with use of antihypertensive

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