BMJ Case Reports 2017; doi:10.1136/bcr-2017-219433


  1. Saad Suud Shwani2
  1. 1Department of Medicine, International Medical University School of Medicine, Negeri Sembilan, Malaysia
  2. 2Department of Neurology, Ranya Hospital, Sulaimaniya, Iraq
  1. Correspondence to Dr Osama S M Amin, dr.osama.amin{at}
  • Accepted 3 February 2017
  • Published 15 February 2017


An Iranian boy aged 15 years presented with a few day's history of abnormal gait and sudden repetitive jerky limbs' movements. The past histories were unremarkable. He was fully conscious. Examination revealed ataxia of stance and gait and generalised myoclonic jerks. Ocular examination revealed opsoclonus (video 1). Routine blood tests and brain MRI with gadolinium were normal. The boy's father stated that he intends to go back to Iran and manage his son there. In Iran, brain MRI, chest/abdomenopelvic CT …

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