Abstract
A 43 year old man was complaining of left central visual field deficit, hoarseness in breathing, dysphagia, and right shoulder pain after an acute infection of the upper airway. Physical examination revealed right associated laryngeal paralysis and left optic neuritis. Laboratory examination showed high parainfuruenza type 3 virus-antibody titers, suggesting meningitis caused by the said virus. For treatment, predonisolon was administrated starting with 80 mg. resulting in improvement of clinical symptoms.