CASE HISTORY:
A 65-year-old male, with no previously known co-morbidities presented to the Neurology department with the complaint of tremors, slowness of movements and occasional postural instability for the last 1 year. According to the patient the symptoms were gradual on progression and was increasing in intensity for the last 1-1.5 months. Moreover, the patient also had a recent newly developed history of headache, generalized with no any relevant aggravating or relieving factor, along with recurrent falls for the last 3 days. There was no history of seizure-like activities, loss of consciousness, nausea, vomiting, paralysis/paresis. The patient had no significant past history nor any similar family history. The vitals were normal during the arrival to the clinic. On clinical examination, there a positive Chvostek sign was seen. Moreover, rigidity and narrow based gait was noted. The power, bulk and tone were normal in all 4 limbs. There was no sensory deficit and plantar reflex was down going.