WCN 2013 No: 2765 Topic: 10 — Neurorehabilitation Multifocal tuberculosis revealed by cerebellar ataxia: One case A. Khadir, M. El Bouchikhi, S. Lahrabli, F. Lmidmani, A. El Fatimi. Service de Medecine Physique et Readaptation Fonctionnelle Chu Ibn Rochd, Casablanca, Morocco Introduction: Multifocal tuberculosis is uncommon and is defined by the achievement of two extra-pulmonary sites with or without pulmonary involvement. Multifocal tuberculosis is grave and responsible for 16–25% cases mortality. It is mainly associated with immunocompromised person. Purpose: To describe the characteristics of multifocal tuberculosis in an immunocompetent. Case report: 38-year-old woman with history of epilepsy consulted for difficulty in walking, ataxia and weight loss of 10 kg, physical examination found a dyspnea, a normal conscious, a normal voluntary control, a vivacious deep tendon reflexes, balance disorder, enlargement of support polygon, drunken gait, all in a context of apyrexia and impaired general condition. The chest X-ray objectified a miliary tuberculosis, chest CT scan was in favor of pulmonary tuberculosis and lymph nodes, cerebral MRI showed nodular lesions in the left region of occipital lobe with triventricular hydrocephalus in favor of neuromeningeal tuberculosis. The diagnosis of multifocal tuberculosis (pulmonary, cerebral and lymphoid) was retained. Patient received her BCG vaccination without any immunocompromised therapy. Immunocompromised disease was not found. Management was 12 month of antibacillar treatment with rehabilitation. Clinical, laboratory studies and radiological evolution were good. Discussion: Multifocal tuberculosis is a severe form which can affect even immunocompetent patient particularly in the Moroccan context, hence the need for a systematic dissemination checkup assessment for better management. This treatment should be instituted as soon as possible to avoid the sequelae. Conclusion: Multifocal tuberculosis is severe, to improve its prognosis, we emphasize the importance of early diagnosis and therefore the treatment. doi:10.1016/j.jns.2013.07.1925 Abstract — WCN 2013 No: 2757 Topic: 10 — Neurorehabilitation Atypical evolution of Guillain Barre syndrome: One case A. Khadir, H. Kassimi, F. Lmidmani, A. El Fatimi. Department of Physical Medicine and Rehabilitation Functional Chu Ibn Rochd,