Subacute Cerebellar Degeneration With Hodgkin's Disease

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Abstract
Introduction The association of subacute parenchymatous degeneration of the cerebellum and overt or occult carcinoma is now a well recognized entity. However, the association of cerebellar degeneration and other forms of malignant disease is not so well recognized. The following case describes the occurrence of subacute cerebellar degeneration in a patient who subsequently developed Hodgkin's disease. Clinical History The patient, a 62-year-old white male, was well until 21 months before his death when he complained of headaches and double vision lasting for two weeks. His vision returned to normal and was followed a few weeks later by vertigo, difficulty with speech, and a gait described as slow and stiff. The latter rapidly became much worse, and he tended to lose his balance and fall when standing erect. Examination 18 months before death revealed severe ataxia of his trunk and of all four limbs. There was vestibular horizontal nystagmus to both

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