ABSTRACT
Over the last 3 years, he had also experienced mild softening of his voice, a feeling of being off balance with occasional stumbling, some difficulty buttoning, and washing his hair, and some trouble tying a necktie. His wife reported that friends and relatives would ask her: ‘What is wrong with his walking?’ The patient was initially diagnosed as having essential tremor. He was also seen by a podiatrist because of the foot cramping.
