| Summary points: | The authors report a case of a 44-year-old man who underwent his second kidney transplantation and proceeded to have multiple infections and an episode of humoral rejection 2 months after. He became hypertensive with severe headaches, had visual field abnormalities, seizures, left haemiparesis, and haemineglect. Medical history, laboratory data, computed tomography and magnetic resonance imaging findings are described. The authors suggest that in the appropriate setting reversible posterior leukoencephalopathy syndrome should be suspected, and the clinician should not be misled by atypical clinical or imaging findings. |