Parkinson's often starts with a tremor in one hand. Other symptoms are slow movement, stiffness, and loss of balance.

People may experience:

EYE MOVEMENTS

There are three fundamental types of eye movements. The saccadic eye movements are the rapid eye movements that redirect our gaze to pick up an object of interest. They are also important in following the lines of a printed page. Pursuit eye movements stabilize the object on our retina and follow it as it moves slowly through space. Vergence eye movements serve to move the eyes in different directions (either together, which is convergence, or apart, which is divergence), keeping an image stable on our retina as it moves toward or away from our eyes. This type of eye movement helps us avoid double vision. In Parkinson's disease, the saccades tend to be slow (or hypometric) and show delayed initiation. Some people with PD require a blink to change their saccadic position (this is called Wilson's sign). As you can imagine, this makes it hard to fixate changing targets in the environment and to read as well. Often these can normalize with L-dopa, but if a person has Levodopa-induced dyskinesias, the saccades can become hypermetric. When pursuit movements become decreased, this can produce what is called cog-wheel (jerky) slow eye movements. Insufficient convergence of the eyes can cause insufficiency of accommodation, which is the eye's response to a near stimulus. This inadequacy or slowness of accommodation can result in eyestrain, headaches and double vision (diplopia) when working on near tasks. Unfortunately, this condition can be exacerbated by medications used to treat the tremors and the spasms often seen in PD.

Tremor: can occur at rest, in the hands, limbs, or can be postural

Muscular: stiff muscles, difficulty standing, difficulty walking, difficulty with bodily movements, involuntary movements, muscle rigidity, problems with coordination, rhythmic muscle contractions, slow bodily movement, or slow shuffling gait


Whole body: fatigue, dizziness, poor balance, or restlessness
Cognitive: amnesia, confusion in the evening hours, dementia, or difficulty thinking and understanding

Speech: impaired voice, soft speech, or voice box spasms

Mood: anxiety or apathy

Urinary: dribbling of urine or leaking of urine
(debate)
Facial: jaw stiffness or reduced facial expression

Also common: blank stare, falling, fear of falling, loss in contrast sensitivity, neck tightness, trembling, unintentional writhing, or weight loss.


We know unless something happens with a camera rolling she won't disclose it.

If she has this or something related in a debate likely on her feet for two hours may prove to be challenge.

Her rallies are less than 20 minutes