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Bilateral visual loss in posterior reversible encephalopathy syndrome (MRI)

A 59-year-old woman had severe bilateral vision loss as well as altered sensorium, headaches, and seizures. The blood pressure was 203/180 mmHg. MRI revealed signal abnormality in the bilateral parieto-occipital areas, predominantly in the white matter, without infarction, which is consistent with posterior reversible encephalopathic syndrome. Visual acuity improved rapidly within 2-3 days following treatment of hypertension. (Contributed by Dr. Sangeeta Khanna.)

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