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JAMA Neurology Clinical Challenge
February 2017

Cerebellar Ataxia and Hearing Impairment

Author Affiliations
  • 1Department of Neurology, Icahn School of Medicine at Mount Sinai, New York, New York
  • 2Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York
JAMA Neurol. 2017;74(2):243-244. doi:10.1001/jamaneurol.2016.3426

A 51-year-old man presented with progressive difficulty walking that developed over 1 month shortly after he ran a marathon. He frequently fell and had difficulty climbing the stairs. He stated he had hearing problems, but with further questioning, it was discovered he actually had difficulty deciphering speech. He did not have dizziness on standing nor bowel or bladder incontinence. He did not take medications, and he drank socially. He had no family history of imbalance problems. He still worked full-time as a lawyer.

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