XXXX associated with a @entity5 in an adult: a case report.

@entity1 @entity5344 @entity2045 @entity5 @entity2055 @entity189 @entity281 @entity51 @entity911 @entity76 @entity751 @entity230 @entity12523 @entity393 @entity7867 @entity792 @entity1319
INTRODUCTION: @entity12523 is a rare @entity792 usually seen in @entity1 and very rarely in adults. It typically presents with a triad of @entity1319 , @entity2045 and @entity2055 , and is most often associated with a @entity5 or after an @entity281 or vaccination. Around half of all adult cases are paraneoplastic in origin, and isolated case reports include associations with lung, @entity5344 . To the best of our knowledge, this is the first-ever reported case of paraneoplastic @entity12523 occurring in association with a @entity189 . CASE PRESENTATION: A 50-year-old British Caucasian @entity1 presented with left-sided @entity7867 and subjective @entity393 . Over the coming weeks she developed subacute @entity911 and dizziness, leading to recurrent falls. Her clinical examination revealed @entity1319 , @entity2045 and signs of @entity76 . Subsequent magnetic resonance imaging revealed a left-sided @entity189 , which was confirmed on biopsy. A tapering dose of @entity230 and a five-day course of intravenous immunoglobulins, followed by a combination of chemo-radiotherapy for the @entity189 , led to a significant clinical improvement. At six months follow-up she had no signs of focal @entity51 , apart from the inability to tandem walk. We believe that the typical clinical features, presence of a @entity5 and response to treatment support a paraneoplastic aetiology. CONCLUSIONS: We show that a @entity189 can be associated with adult onset @entity12523 . Both neurologists and otorhinolaryngologists must be aware of such a presentation. @entity751 depends on early and adequate management of the @entity5 , therefore prompt identification of the syndrome and the underlying @entity5 is essential.
