Dear Sir,The publication on “Parainfectious Ocular Flutter and Truncal Ataxia and Dengue” is very interesting.[1] Mahale et al. concluded that “There are reported cases of opsoclonus myoclonus ataxia in association with dengue virus infection. However, there are no reported cases of parainfectious ocular flutter and truncal ataxia in association with dengue virus infection.[1]” In fact, the ocular and neurological complication due to dengue is not uncommon and become the problem in clinical management.[2] Nevertheless, the case report by Mahale et al. is not the first case report. There are at least previous case reports in the previous literature mentioned by Sakdisornchai et al.[3] and Tan et al.[4] Furthermore, a possible concurrent disorder that might result in ocular problem and ataxia is usually not ruled out in reported cases.[5]