Case 1 A 45 year-old female farmer presented with progressive weakness of left limbs and headache for more than a month she had no fever and received mannitol for controlling icp since the onset of the disease. physical examination showed a little nuchal rigidity and decreased muscle force of left limbs. Left Babinski sign presentedCase 1 • A 45 year-old female farmer presented with progressive weakness of leR limbs and headache for more than a month. She had no fever and received mannitol for controlling ICP since the onset of the disease. Physical examinaFon showed a liSle nuchal rigidity and decreased muscle force of leR limbs. LeR Babinski sign presented