Examination reveals severe bilateral parkinsonism and resting tremors of the left hand during the patient's "off" medication state, followed by marked, troublesome dyskinesias during her "on" state. Spasticity and hyperreflexia are shown as well. Gait demonstrates hypokinetic elements overshadowed by severe spastic gait. Finally, the video shows examination off medication state at 12 months with profound improvement in parkinsonism and tremor. No significant change in ambulation is seen. No on medication state video is provided because patient had complete resolution of dyskinesias.