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van Beers and colleagues described a 49-year-old woman admitted to hospital for thunderclap headache, blurred vision and hypertension. Based on clinical manifestations, diagnostic workup and follow-up, the authors diagnosed the case as posterior reversible encephalopathy syndrome (PRES). We agree that PRES should be considered in this case, while differential diagnosis like subarachnoid hemorrhage (SAH) requires further investigation and exclusion.

Licorice consumption-associated thunderclap headache: posterior reversible encephalopathy syndrome or subarachnoid hemorrhage?