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Ataxia, hypoacusis, and dementia

A 54-year-old man fell from a scaffold without losing consciousness and suffered from headache. Neurological examination revealed right homonymous hemianopsia. Computed tomography (CT) scan of the brain showed left occipital hyperintensity indicating bleeding. He was discharged after 3 days. Six weeks later he lost appetite and slowly developed gait disturbances, hearing deficits, and disorientation. Neurological examination revealed bilateral sensorineural hearing and visual deficits, meningism (without fever), bilateral ataxic finger–nose and heel–shin test, ataxic gait, negative Romberg’s test, dementia (forgetfulness, non-attention, apathy), but no sensible or …