A 48-year-old man presented with headache and diplopia for 10 days. Neurologic examination revealed bilateral horizontal nystagmus and truncal ataxia. Brain MRI showed a T2/FLAIR hyperintense lesion involving the left thalamus and mesencephalon, as well as contrast enhancement along the vascular structures (Figure 1). CSF studies showed high protein (83.4 mg/dL, reference 15–45 mg/dL) and normal glucose (67 mg/dL, reference 40–70 mg/dL). Direct microscopic examination showed elevated leukocytes (705

The American Academy of Neurology (AAN) has been instrumental in identifying trends in neurology training in the United States by periodically surveying neurology residents and fellows regarding their training and perceived needs as they transition into practice. 1,2 This survey assesses experiences in several domains, including fellowship choices, student loans, and business/practice management. 1,2 The results of these surveys have been pivotal in identifying critical deficiencies within neurology