23rd May 2024

A 27-year-old male presented with recurrent falls, impaired concentration and malaise

A 27-year-old male presented with recurrent falls, impaired concentration and malaise. He tells you that he initially felt unwell with flu-like symptoms 1-2 weeks ago but tends to avoid doctors. On examination he has a wide based gait and a 6th cranial nerve palsy on the left. MRI head showed temporal lobe changes with generalised cerebral inflammation.

What is the most appropriate management?

Select the SINGLE most appropriate option from the list below. Select ONE option only.