A 63 years old male presented to the outdoor of a tertiary care centre with the chief complaint of a difficulty in speech since 6 months. He also had slowness of movements for the past one year. There was no history of any neuropsychiatric manifestations, mood disturbances or seizures. He was a hypertensive who was on regular treatment. His family history was not contributory. He was a non smoker and he denied any high risk behavior. He was moderately built and nourished without any skeletal abnormalities or subcutaneous markers.
He was conscious and was oriented to the time and place, with a normal memory and intelligence. His speech was slow and dysarthric. He had a mask like, expressionless face with a reduced blink rate. Bradykinesia was noted, with a reduced arm swing and a stooped posture. He did not have any motor weakness or cranial nerve involvement. There was no rigidity,…
