Spontaneous pneumothorax in ataxia telangectasia

A 20 yr old male presented to Neurology Outpatient department, Postgraduate Institute of Medical Education and Research (PGIMER), in November 2012 with progressive cerebellar ataxia since the age of eight. The patient complained about a sudden onset shortness of breath for the past five days. Clinical examination revealed conjunctival and nail telangectasia (figs. A and B). Chest roentgenogram showed right sided pneumothorax (fig. C) that was managed with high flow oxygen and intercoastal drain insertion (fig. D)