Vladimir Putin has been seen grabbing a table so hard that his veins bulged amid concerns about the ailing tyran'ts health.
The Russian leader looked rigid in a photograph taken in his offices during a meeting with Sergey Kulikov, the CEO of RusNano State Corporation in Moscow.
The tyrant appears tense as his right hand grips the tabletop like a vice.
As he clenches his jaw, the skin on his hand is seen covered with bulging veins, the Express reports.
Earlier this year, the despot was seen holding on to a table for 13 minutes during a meeting broadcast on Russian state TV which added fuel to rumours of his ailing health.
Since the start of the invasion, a myriad of different reports have claimed Putin is suffering with a life-threatening condition.
Some claim he is fighting blood, thyroid or abdominal cancer, while others experts are convinced the 69-year-old has early stage Parkinson’s disease.
A medical professor told The Mirror that it's likely he has Parkinson's disease as footage showed his leg uncontrollably shaking.
"All this talk of thyroid cancer... if you had that five years ago, I don't think that would be a problem now," Professor Angus Dalgleish of St George's, University of London, told The Mirror.
However, he continued: "I do think that the one solid piece of evidence we see routinely is the shaking of the hands and I think that that is a degenerative thing like Parkinson's."
Last month, when the Russian brute met with Belarusian President Alexander Lukashenko in Sochi, he was caught on camera awkwardly twisting his feet when the pair sat down for talks.
Then at the weekend, Putin presented the State Prize of the Russian Federation to filmmaker Nikita Mikhalkov at the Kremlin.
He was seen unable to stand still, seeming to sway back and forth as he listened to the recipient accept the prize.
He could be seen shaking his legs as he appeared to make side-to-side movements.
"Tremors would be consistent with Parkinson's and certainly the tremors he has in his hands are all consistent with the disease," Professor Dalgleish said.
He said to confirm cancer we would need to see a scan, but with Parkinson's, there have been numerous videos from different occasions, so we can "definitively go on those movements that we see on videos".
He continued: "You can't say from a short clip like that whether someone has cancer, except there have been several different times and different scenarios where the shake is constant and it gets quite bad.
"So I can assure you that things are rarely straightforward but I would put my money on the fact that he's got about Parkinson's."
The medical professor also said Putin often presents with a "deadpan face" which is "classic Parkinson's".
