Ataxic disorders are numerous and relatively uncommon. They can result in lesions in the cerebellum, spinal cord, thalamic nuclei, vestibular nuclei, cerebral white matter and sensory pathways. Ataxia can be acute, subacute or chronic onset and progressive in nature. As pharmacological treatment, especially in chronic and progressive ataxia, is efficient nor is generally effective in treating various issues, rehabilitation has an important role to play in alleviating symptoms and quality of life. Various rehabilitation strategies such as conventional physical and occupational therapy, gait training and coordination therapy have been used for a long time. In the last 3–4 decades, there has been an addition in the armamentarium of rehabilitation with the use of non-invasive brain stimulation, virtual reality, body weight support treadmill training and robotic gait training to improve various aspects of the illness. The current evidence with rehabilitation strategies is also insufficient, so further longitudinal studies with bigger sample size and specific goal-directed therapies are the need of the hour.

We describe the clinical presentation, hospital course and rehabilitation outcome (with improvement in clinical scores) in a middle-aged male with neurobrucellosis admitted in Neurological Rehabilitation ward of a tertiary care hospital in India. This case report highlights the need and importance of rehabilitation along with medical treatment in neurobrucellosis patients even in later stages.

Longitudinally extensive transverse myelitis (LETM) is an infrequent subtype of acute transverse myelitis, which presents with sensory, motor and autonomic dysfunction after a focal or widespread inflammation of the spinal cord due to either direct infection or an autoimmune response. We present case reports of three females who developed LETM following COVID-19 vaccination. Their clinical presentation, deficits and rehabilitation outcome at discharge and at 8 months follow-up have been briefly described.

In this report we describe a case of first episode of spastic cerebellar ataxia post COVID-19 infection, its clinical presentation, and treatment and rehabilitation outcome. The ataxia was generalized and multifocal with an acute onset within two weeks of infection. This case report highlights the need of early rehabilitation along with medical treatment in spastic ataxic syndrome post Covid-19 infection.