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jws-mds.20800.vid.mpg13514K Segment 1. (1) Baseline evaluation showing bradykinesia with slow finger tapping, postural tremor on the right hand, and hypomimia. (2) Walking with the aid of walking sticks is severely impaired. Deep tendon reflexes are brisk particularly in the lower limbs. Segment 2. (1) On L-dopa therapy, finger tapping and gait show evident improvement. (2) Deep tendon reflexes are still brisk. Segment 3. Five years later, he developed fluctuations in motor performance and peak-dose dyskinesias as depicted in the video clip. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi-annually.

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