Description

A 26 year-old-man developed progressive weakness of all limbs, hoarseness of voice and dysphagia over a period of 10 days. The patient was conscious, oriented and vital parameters were within normal limits. Neurological examination revealed; horizontal and torsional nystagmus, bilateral 9th and 10th cranial nerve involved, 3/5 muscle power in all limbs and sensory system was intact. MRI brain showed multiple small conglomerated ring enhancing lesions displaying hyperintense core on T2 weighted images (WIs) and hypointense on T1WIs and fluid attenuated inversion recovery …