History

• Female, 82 years.
• Patient had symptoms for three years prior to visit.
• She had a left arm tremor which had not progressed significantly.
• Propranolol was given with no effect.
• She had experienced a general slowing, but had attributed this to age and osteoarthritis.
• The patient had suffered a transient ischaemic attack six years previously which caused right brachiofacial weakness.