9th September 2020

The following patient presents with extrapyramidal motor problems to primary care or emergency services (4)

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

A 22-year-old patient presents with progressive, insidious onset of balance and coordination problems. They used to be an avid tennis player but have found that their symptoms mean they can no longer do anything. They have also recently been diagnosed with diabetes mellitus. On examination, they have a broad based gait.

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.