Functional Parkinsonism 2

Vignette 2: The first sequence (1) shows the evaluation of akinesia in the upper and lower limbs. Movements of both the upper and lower limbs are slow, without gradual decrement in amplitude. The second scene (2) demonstrates assessment of motor tone. Rigidity that is initially observed in the left arm is found to decrease with reinforcement maneuver. The third sequence (3) shows a Hoover’s sign of left leg, with an initial deficit of left hip extension, but normal left hip extension during right hip flexion. There is no fall on the pull test (4). The patient exhibits slow gait, without freezing. There is diminished arm swing of both arms (5)