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No intravenous steroids or immunosuppressive therapy was given. Cerebrospinal fluid showed lymphocytic pleocytosis. The workup for the cause of severe ataxia revealed an oropharyngeal lesion with cervical lymph nodes, and the biopsy showed classical Hodgkin\u2019s lymphoma of mixed cellularity. She was treated with chemotherapy followed by radiation therapy and made a remarkable recovery, and currently, she is in remission without distant metastases, 5 years after the initial diagnosis. Her neurological status improved, and she remained with mild ataxia.<\/jats:p>","DOI":"10.1136\/bcr-2021-245225","type":"journal-article","created":{"date-parts":[[2021,11,11]],"date-time":"2021-11-11T07:17:08Z","timestamp":1636615028000},"page":"e245225","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Severe ataxia uncovered Hodgkin\u2019s lymphoma: do not forget CT neck when looking for covert malignancy"],"prefix":"10.1136","volume":"14","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9983-3584","authenticated-orcid":false,"given":"Naim Izet","family":"Kajtazi","sequence":"first","affiliation":[{"name":"Neurology, King Fahad Medical City, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehtesham","family":"Khalid","sequence":"additional","affiliation":[{"name":"Department of Neurology, Ideal Medicare Clinic, Multan, Punjab, Pakistan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juman Al","family":"Ghamdi","sequence":"additional","affiliation":[{"name":"Medical Imaging Administration, Intervention Neuroradiology, King Fahad Medical City, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Abulaban","sequence":"additional","affiliation":[{"name":"Neurology, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia"},{"name":"King Abdullah International Medical Research Center, Riyadh, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Majed H","family":"AlHameed","sequence":"additional","affiliation":[{"name":"Neurology, King Fahad Medical City, Riyadh, Saudi Arabia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2021,11,11]]},"reference":[{"key":"2025082723023998000_14.11.e245225.1","doi-asserted-by":"publisher","DOI":"10.1212\/NXI.0000000000001014"},{"key":"2025082723023998000_14.11.e245225.2","first-page":"243","article-title":"Paraneoplastic cerebellar degeneration preceding the diagnosis of Hodgkin's lymphoma","volume":"64","author":"Ypma","year":"2006","journal-title":"Neth J Med"},{"key":"2025082723023998000_14.11.e245225.3","doi-asserted-by":"publisher","DOI":"10.1212\/01.WNL.0000041495.87539.98"},{"key":"2025082723023998000_14.11.e245225.4","doi-asserted-by":"crossref","first-page":"e922342","DOI":"10.12659\/AJCR.922342","article-title":"A case of paraneoplastic cerebellar degeneration that preceded the diagnosis of classical Hodgkin's lymphoma by 16 months","volume":"21","author":"Arratibel","year":"2020","journal-title":"Am J Case Rep"},{"key":"2025082723023998000_14.11.e245225.5","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.42.10.1938"},{"key":"2025082723023998000_14.11.e245225.6","doi-asserted-by":"publisher","DOI":"10.1002\/1097-0142(19930315)71:6<2062::AID-CNCR2820710622>3.0.CO;2-0"},{"key":"2025082723023998000_14.11.e245225.7","doi-asserted-by":"crossref","first-page":"2523","DOI":"10.1007\/s10072-021-05046-z","article-title":"Paraneoplastic cerebellar degeneration as a presenting manifestation of non-Hodgkin's lymphoma","volume":"42","author":"Nanda","year":"2021","journal-title":"Neurol Sci"},{"key":"2025082723023998000_14.11.e245225.8","doi-asserted-by":"crossref","DOI":"10.1136\/bcr-2017-224100","article-title":"Paraneoplastic cerebellar degeneration in a patient with anaplastic non-Hodgkin\u2019s lymphoma","volume":"2","author":"Khan","year":"2018; 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