A patient Mr. Satya Narain Chauhan, 67 yrs old male, diagnosed case of DM, Ca prostate presented with complaints of urinary retention and slurring of speech. On examination Mr. Chauhan is having left lower limb weaknessnot able to stand/ walk, midline lumbosacral tenderness present So, Mr. Chauhan was evaluated for spinal cord compression, and to rule out CVA. Patient had sclerotic metastasis in lumbosacral spine, and mass lesion in cerebellum.

Keywords: Carcinoma Prostate; Cerebellum; Hydrocephalus.