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This article includes Supplementary Video, available online at http://www.interscience.wiley.com/jpages/0885-3185/suppmat .

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jws-mds.20476.vid.mpg13771K Segment 1. Neurological examination of a 40-year-old Caucasian female. The patient presents with severe stuttering and hypophonia. Dystonia is seen in the legs greater than the arms, and there is a tendency for toe walking. The patient is able to ambulate with two four-pronged canes. Eye-of-the-tiger sign is seen on cranial magnetic resonance imaging scan. Segment 2. Neurological examination of the same patient at age 44 shows persistent severe stuttering and hypophonia. Finger taps show decreased amplitude, but there is no hand apraxia. Toe walking and dystonia of the feet persist while ambulating with a rolling walker. While walking, the patient exhibited obsessive behavior such as licking her finger and touching the wall. She also discusses other obsessions and compulsions. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi-annually.

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