Was watching the Biden - Stephanopoulos interview and my aunt. She mentioned that he's holding a pen. She said that people who have some sort of handicap often do that so that the look less stiff I guess. She mentioned that Bob Dole would do this. She did an impression of Biden walking and had all her fingers together and was walking like a robot and it did look like how Biden walks. So maybe they did purposely have Biden hold a pen so he looks less stiff.
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This could be a factor:
Lewy bodies are inclusion bodies – abnormal aggregations of protein that develop inside nerve cells
affected by Parkinson's disease, the Lewy body dementias, and some other disorders. They are also seen in cases of multiple system atrophy, particularly the parkinsonian variant.
Lewy body dementia is the second most common type of dementia after Alzheimer's disease. Protein deposits called Lewy bodies develop in nerve cells in the brain. The protein deposits affect brain regions involved in thinking, memory and movement. This condition is also known as dementia with Lewy bodies.
Lewy body dementia causes a decline in mental abilities that gradually gets worse over time. People with Lewy body dementia might see things that aren't there. This is known as visual hallucinations. They also may have changes in alertness and attention.
People with Lewy body dementia might experience Parkinson's disease symptoms. These symptoms may include rigid muscles, slow movement, trouble walking and tremors.