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

FilenameFormatSizeDescription
jws-mds.20683.mpg13602K Segment 1. Baseline condition. Neurological examination shows diffuse, irregular, and continuous myoclonic jerks worsened by movement. Repetitive, pseudorhythmic, not voluntary movements of the fingers are also evident. Segment 2. After 1 year of therapy with piracetam, 18 g/day, both rest and action myoclonus are clearly reduced and the patients appears more alert. Dysmetria and dystonic neck and trunk posture are evident. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi-annually.

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