Extrapyramidal, Cerebellar and Cognitive Symptoms in an Older Man

An 80-year-old male was admitted with a 2-week history of sudden instability, which he described as episodes of “being pulled backwards”. He also reported new nausea. The patient has recently been diagnosed with critical aortic valve stenosis and had a history of prostate cancer in remission for last 5 years (suprapubic catheter in situ). There were no orthostatic features accompanying his symptoms, and his medication has remained unchanged for the past 12 months. Prior to this admission, he lived independently without the need for caregivers. Although he had consumed a moderate amount of alcohol regularly in the past, he did not engage in excessive drinking.