PRES (Posterior Reversible Encephalopathy Syndrome) is a reversible clinical syndrome characterized by subcortical brain edema. It is caused by disordered cerebral blood flow regulation and endothelial dysfunction, leading to vasogenic edema. Common symptoms include headache, seizures, altered mental status, and visual disturbances. MRI typically shows hyperintense lesions on T2-weighted imaging in the parieto-occipital regions. Treatment involves identifying the underlying cause, controlling blood pressure, and supportive care. The prognosis is usually good with resolution of symptoms and imaging findings.