CASE PRESENTATION The patient was first seen by one of us (OS) at the age of 56 years, with a 7-year history of right-sided bradykinesia, rigidity, and rest tremor. He had a 10-year history of abnormal posturing of his right hand during writing, suggestive of a dystonic writer’s cramp. Physical examination at the initial visit revealed right-sided bradykinesia and rigidity, mild bilateral rest tremor, and dystonic writer’s cramp. Eye movements were normal, as was the rest of the neurological examination, and there were no cerebellar signs. A diagnosis of Parkinson’s disease (PD) was made. The patient exhibited a good response to carbidopa/ levodopa.