• re troperative neuralgia on the right side of his face
  • Mild facial palsy on right
  • Inability to walk
On examination:
  • Decreased sensations along distribution of the right trigeminal nerve (right side of the face)
  • He had weakness in all 4 limbs
  • Reflexes were brisk with bilateral up going plantar jerks
  • MRI BRAIN SHOWED a large epidermoid tumour in the posterior fossa and the middle fossa of brain.