Parkinson’s gait: when falls become pitfalls Samay Jain and Stanley Fahn

CASE PRESENTATION A 58-year-old right-handed man began dragging his right foot while walking (see video, Case 43 ). A few months later, he had difficulty using his right hand. Four years later, he began having problems using his left side and difficulty turning, with poor balance. Two years later, he had tremor in both hands, more on the right side. There was urinary urgency and frequency. Recently, he began having ‘locking up’ episodes when attempting to turn. His symptoms continued to progress despite trials of pergolide and bromocriptine.