Aim: Our study's objective is to assess the degree and type of brain edema, incidence of atypical and typical regions of involvement and unusual imaging manifestations as well as to assess the neuro imaging abnormalities in eclampsia patients with PRES. Material and Method: This is a referral hospital-based prospective study of 50 consecutive cases of eclampsia who were subjected to MRI brain. All 50 women with eclampsia were treated with routine principles of management of eclampsia. Results: We observed a combined pattern of typical and atypical PRES compared to individual findings. Among the atypical patterns of PRES, the holohemispheric atypical pattern was observed to be highly significant compared to other atypical patterns of PRES. 36% of patients were observed with postpartum eclampsia which is most common in duration of less than 48 hours. During follow-up, reversible eclampsia with PRES was highly observed compared to irreversible. Conclusion: Magnetic resonance imaging is a useful imaging technique that improves the diagnosis as well as differentiates the types of PRES .MRI could help early detection of PRES in eclampsia patients for better prognosis and overall improvement of maternal and child health.