Micrographia is an acquired disorder characterized by abnormally small, cramped handwriting.[1] It is commonly associated with neurodegenerative disorders of the basal ganglia, such as in Parkinson's disease, but it has also been ascribed to subcortical focal lesions.[2] O'Sullivan and Schmitz describe it as an abnormally small handwriting that is difficult to read, as seen in the accompanying photo.[3] Micrographia is also seen in patients with Wilson's disease, Obsessive Compulsive Disorder, Metamorphopsia, or with isolated focal lesions of the midbrain or basal ganglia.[1][4]