We would like to share our experience in the use of hunova as a tool for balance treatment and assessment in a rare neurological condition. Our patient presented a cavernous malformation and hypertrophic olivary degeneration, resulting in ataxia, decreased balance, impaired gait and additional deficits focalized in the left side. He underwent a training on hunova as part of our PoNS program. Hunova intervention was focused on static and dynamic balance, sensory integration, motor dual task and weight shifting exercises. Balance and motor abilities were evaluated with hunova as well with clinical tests. In this case study we will show how robotic balance therapy with hunova in conjunction with innovative PoNS therapy led to significant improvement in our patient in balance and gait abilities as well as in performance of activities of daily living. hunova also allowed for precise and objective evaluation of balance improvements.