This is online E log book to discuss our patient's de-identified health data shared after taking his/her/guardian's signed informed consent. Here we discuss our individual patient's problems through series of inputs from available global online community of experts with an aim to solve those patients clinical problems with collective current best evidence based inputsThis e-log book also reflects my patient centered online learning portfolio and your valuable inputs on comment box is welcome. 65 year old female who is an agricultural labourer by occupation came with the C/O involuntary movements, giddiness and memory loss since 4 month s History of present illness: Patient was apparently asymptomatic 4 months back she had H/O Fever - associated with generalised weakness which lasted for 3 days for which she visited the hospital, fever evaluation was done (dengue ,MP, Widal Negative) and she was prescribed antipyretics for 5 days and the fever subsided within 3 days aft