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A 49 year old woman presented with one year's history of dysarthria and ataxia. She had 3 attacks of falciparum malaria in the past and developed features of cerebellar dysfunction on the seventh day after the third attack was cured. All three episodes were diagnosed on the basis of positive peripheral blood films for asexual stages of Plasmodium falciparum. The illness reached its peak in two weeks and remained static thereafter. Delayed cerebeller syndrome following falciparum malaria is usually a self-limiting illness with complete recovery (delayed reversible post-malaria cerebellar syndrome). This case illustrates another variety of delayed post-malaria cerebellar syndrome in which cerebellar dysfunction is persistent (delayed persistent post-malaria cerebella syndrome). This could be considered a type of post-malaria neurological syndrome described in the past.