Statistics from Altmetric.com
A 71-year-old woman with a history of psoriatic arthritis on methotrexate presented with a 1 week history of dizziness, imbalance and blurry vision, followed by diarrhoea and fever. Neurological examination revealed bilateral upper limb tremor and dysmetria, occasional multifocal myoclonus, inability to rise or stand and altered mental status. She also showed jerks of rapid, involuntary, multivectorial eye movements (online supplementary video), consistent with opsoclonus-myoclonus …
Contributors EP contributed to writing of manuscript, discussion and patient care. FX, ED and EET contributed to discussion and patient care.
Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.
Competing interests None declared.
Patient consent for publication Obtained.
Provenance and peer review Not commissioned; internally peer reviewed.
If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.