Posterior reversible encephalopathy syndrome (PRES) is a disorder caused by reversible subcortical brain edema. It typically presents with neurological symptoms like seizures, headaches, and visual disturbances in patients with renal failure, blood pressure issues, cytotoxic drugs, or preeclampsia/eclampsia. The pathophysiology involves a breakdown of cerebral autoregulation and endothelial dysfunction leading to vasogenic edema. Treatment focuses on controlling the underlying cause, particularly smoothing hypertension through IV drugs. While prognosis is often favorable with full recovery, there are risks of hemorrhage, brainstem compression, or persistent neurological effects in some cases.