Abstract
In 2006, a 36-year-old woman without any relevant medical history, presented with one-month history of severe weight loss (12 kg, leading to a body mass index of 14) and mild gait unsteadiness, without fall. She reported no dysautonomia symptoms, including diarrhea. At her first neurological examination, she had a mild cerebellar gait ataxia, a multidirectional nystagmus. Considering the weight loss and the subacute onset of a cerebellar ataxia, the first diagnostic hypotheses were autoimmune, paraneoplastic or infectious encephalitis, or an encephalopathy associated with autoimmune thyroid disease or malabsorption.
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