Vladimir Putin appeared to once again twitch his feet in an exaggerated manner during a meeting with the Kazakh president adding to rumours that he may have Parkinson’s disease.
The Russian leader also looked bloated as he sat opposite Kassym-Jomart Tokayev in a meeting where they signed a document marking 30 years of diplomatic relations between the two countries.
But although allies, Tokayev has disapproved of Russia’s invasion of Ukraine and there appeared to be tension as he refused to look Putin in the eye.
As in many public events in recent months, Putin twitched his feet a lot and appeared to have spasms and tremors, a typical symptoms of Parkinson’s disease.
While talking about the importance of the relationship between Kazakhstan and Russia, there were notable jolts with his feet and he was also gripping a table which is also something that he has been doing regularly.
Dystonia is an early symptom of Parkinson’s Disease where the sufferer has sustained or repetitive muscle twisting, spasm or cramp.
After they exchanged signatures on a document marking 30 years of diplomatic relations, Tokayev momentarily held up the agreement with Putin, then handed it to an aide as if he couldn't wait to leave.
When he spoke, Tokayev said there was "every reason to be satisfied" with relations between Russia and Kazakhstan but warned Putin: "You need to look ahead, and it is for this purpose that I have come here."
When the pair sat down in front of journalists, Putin asked: "Shall I start?"
Tokayev replied with a curt 'Yes' without looking at his host, and showed no personal warmth towards the Kremlin leader.
Earlier this month a leaked Kremlin spy document, claimed that Putin was suffering from Parkinson's and pancreatic cancer.
It was reported that Putin's inner circle is worried that his “thinness and persistent cough ” is becoming noticeable and will be seen by the elites in Russia as a “sign of the leader's rapidly deteriorating health”, according to Telegram channel General SVR.
The channel has long claimed he is suffering from cancer despite the Kremlin's insistence he is in good health.
He has lost 18lb in recent months, according to the channel.
And a Russian intelligence source close to the Kremlin has allegedly confirmed that Putin has been diagnosed with early-stage Parkinson's and pancreatic cancer, according to emails seen by The Sun Online.
The reported emails also say there are rumours he now had prostate cancer.
"I can confirm he has been diagnosed with early-stage Parkinson's disease, but it's already progressing," the Russian security services insider claimed.
"This fact will be denied in every possible way and hidden. Putin is regularly stuffed with all kinds of heavy steroids and innovative painkilling injections to stop the spread of pancreatic cancer he was recently diagnosed with.
"It not only causes a lot of pain, Putin has a state of puffiness of the face and other side effects - including memory lapses. In his close circle, there are rumours that in addition to pancreatic cancer, which is gradually spreading, Putin also has prostate cancer."
