THIS is the moment Vladimir Putin's feet appeared to twitch and spasm during a meeting in a possible sign of Parkinson's disease.
The Russian president, 70, who is reportedly "critically ill", met with Kazakhstan president Kassym-Jomart Tokayev, 69, on Monday.
During the tense talks in Moscow, Putin's feet twitched and spasmed - a symptom of Parkinson's disease.
Footage showed his legs jolting and his feet tapping as he spoke to the cameras about the "special significance" of the meeting.
He was also seen gripping his right arm with his left hand throughout the talks - months after he was pictured hobbling along a red carpet with his right arm hanging limp by his side.
It comes after bombshell spy documents leaked to The Sun Online appeared to confirm Putin does have early stage Parkinson's disease and pancreatic cancer after months of rumours.
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During Monday's awkward meeting, Putin and Tokayev exchanged documents with a brief handshake and eye contact - but only for a split second.
The Russian tyrant was snubbed by Tokayev as the Kazakhstan leader made his disapproval of the Russian invasion of Ukraine crystal clear.
At the signing ceremony, Tokayev sat down before his host and did not engage with the Russian leader.
After they exchanged signatures on a document marking 30 years of diplomatic relations, Tokayev briefly held up the agreement with Putin and then hurriedly handed it to an aide.
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Looking puffy-faced and tired, Putin was still holding up his copy of the agreement as he posed for the cameras.
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."
As Tokayev greeted Putin, he appeared to deliberately avert his eyes from the warmonger.
Kazakhstan has annoyed the Russian dictator by allowing tens of thousands of men fleeing his war draft to seek a safe haven in the country.
Like other ex-Soviet leaders, he has failed to give Russia the support it wants in the Ukraine war.
"We must not allow the fraternal Russian and Ukrainian people to part ways for tens or hundreds of years with mutual unhealed grievances," Tokayev lectured Putin last week at a security conference in Armenia.
Tokayev demanded a "joint collective search for a formula for peace” in Ukraine.
The Russian tyrant's health has long been the source of speculation - with Western intelligence suggesting he has serious health issues.
He was recently pictured with suspected track marks from IV treatment on the back of his hand - amid rumours he's suffering from cancer and crippling pain.
Kremlin officials have always denied there is anything wrong with their leader.
Parkinson's disease can cause dystonia, which is muscle twisting, spasm or cramp.
According to it can appear during any stage of Parkinson’s.
Its website says those with the condition can suffer from "involuntary movements, spasms or twisting and 'curling'" in the arms, hands, legs and feet.
Putin has long prided himself on his "strongman" image - but his dramatic change over the past few years has prompted speculation that he may be suffering from a severe physical illness.
His public appearances during the Ukraine war have shown him out of breath, stumbling over his words, or looking exhausted.
In September, Putin appeared to be visibly in pain during a parade in Moscow's Red Square to celebrate breaking international law to annex four regions of Ukraine.
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The ailing autocrat had a manic look with inflamed cheeks and a red face.
Political analyst Valery Solovey claims Putin is suffering from a number of serious illnesses - including cancer, Parkinson’s disease and a schizoaffective disorder.