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Case report demonstrates persistent ataxia and atypical brain lesions, indicating a complex neurological disorder.
We describe a case of fluctuating ataxia in a 37-year-old man. Workup demonstrated multiple brainstem and cerebellar lesions, cerebellar atrophy, and CSF lymphocytic pleocytosis with oligoclonal bands. Ten months after symptom onset, the patient developed a mesial temporal lobe abnormality and had a first-time seizure, prompting additional workup that revealed a diagnosis.
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Rodin et al. (2026) studied this question.
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