Pre-eclampsia is an unpredictable, multiorgan disorder unique to human pregnancy. Focal
neurological deficits in a preeclamptic woman must be rapidly assessed and treated to minimize
damage to both mother and foetus. We report a case of antenatal mother presenting with
headache, visual loss, mental status changes and severe preeclampsia, diagnosed as posterior
reversible encephalopathy syndrome. This syndrome manifests as symmetric bilateral
hyperintensities of parieto-occipital white matter in T2 weighted images on MRI and is usually
reversible with prompt treatment