Thanks, i am going to contact his physio (the physio) and investigate her comfort level with advanced neuro-physiotherapy. I am also going to ask for her support in my reccomendation that the insurance company spring for a trip out to see some serioius specialists. Thanks again for your help, i have a good relationship with the patient and he was impressed he was benifiting from the knowledge and experience of a physio all the way in NZ!! You've been very helpful, thanks again.