A case report of posterior reversible encephalopathy syndrome in a patient receiving gemcitabine and cisplatin.

Rationale: Posterior reversible encephalopathy syndrome (PRES) is a subacute syndrome causing characteristic neurologic and radiologic findings. PRES is predominantly caused by malignant hypertension though it has been associated with immunosuppressive treatments such as chemotherapy.

Patient Concerns: We describe a case of a 58 year old female who developed fluctuant level of consciousness, agitation.