9th September 2020

The following patient presents with extrapyramidal motor problems to primary care or emergency services (1)

The following patient presents with extrapyramidal motor problems to primary care or emergency services.

A 35-year-old man with a history of weight loss, night sweats and a testicular lump. He has been finding it increasingly difficult to walk. On examination, he has a broad-based gait, past pointing and dysdiadochokinesia.

For the patient above, please select the SINGLE most likely underlying cause of their balance and/or movement problem. Select ONE option from the list above.