A 34 year old man developed fever, right ear pain, and diffuse pulsatile headache 10 days prior to admission. Five days later he noticed difficulty in walking, instability, and intention tremor. Neurological examination showed a wide base gait, stance instability, slurred speech, bilateral horizontal nystagmus, intention tremor, four limb dysmetria, and dysdiadochokinesia. There were no signs o...
