Presentation

55 year old Malay woman presented with 2 year history of rapidly progressing dementia, parkinsonian features, and later pyramidal signs. Cerebellar involvement with ataxia and broad-base gait. No autonomic instability and unsure of any new incontinence (already with continence aids). She was sensitive to dopamine agonist and low dose atypical antipsychotics. Currently bed bound.

Patient Data

Age: 55
Gender: Female
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