25yr Male with progressive Ataxia, dysarthria
Chief complaints:- A 25yr old educated male who finished Mcom post graduation 6 month's ago came with C/o dizziness and difficulty in walking since 5yrs. C/o difficulty in speaking since 4yrs HOPI:- Pt was a/a 5yrs back when he developed fever for 3 day's which subsided after getting treatment from a private hospital. Later he developed dizziness in the form of revolving sensation inside his head and it's episodic, not associated with any postural variation or tinnitus / hearing loss or aggravating or relieving factor's & it's Associated with swaying while walking. H/o Difficulty in walking with imbalance in the form of swaying to either sides however he's able to walk independently but Since 1yr the difficulty increased he would walk with feet wide apart & was not able to stand with feet close together & required support to walk around and go to bathroom. it's not associated with any falls. since 1yr he also noticed difficulty in getting up...
