Introduction
Posterior reversible encephalopathy syndrome (PRES) is identified on magnetic resonance (MR) imaging by posterior predominant white and gray matter lesions. The common clinical features are headache, seizures, and visual loss, often in the setting of renal failure, accelerated hypertension and following administration of immunosuppressive drugs. It is widely accepted that the mechanism of PRES is the generation of vasogenic edema caused by failure of cerebral autoregulation and the production of cytotoxic edema due to ischemia. PRES secondary to spinal disease is very rare. Only a few reports show PRES occurred in patients with spinal epidural hematoma. Here, we report a case of clinical and imaging findings about PRES associated with spinal epidural hematoma.