Video 1
Patient examination. Segment 1: The patient demonstrates oromandibular dystonia with spasmodic dysphonia and generalized dystonia with right-sided torticollis and left-sided laterocollis. No postural tremor can be detected. Segment 2: Finger-to-nose is normal and finger chase testing shows mild signs of ataxia. Segment 3: Rapid alternating movements reveal moderate dysdiadochokinesia, more prominent on the left side. Segment 4: Finger tapping shows no signs of bradykinesia. Segment 5: Heel-shin slide is slightly abnormal, again more prominent on the left side. Segment 6: Truncal dystonia with tilt to the right is evident. The patient walks with a broad-based gait and is unable to perform tandem gait.