Vascular Parkinsonism

Evidence-based neurology checklist on vascular parkinsonism: Clinical features Masked but not expressionless facies Early postural instability and gait difficulty (PIGD)/falls Frequent pyramidal signs Early subcortical dementia Possible pseudobulbar palsy Cerebellar features Poor or non-sustained…

Clinical features

  • Masked but not expressionless facies
  • Early postural instability and gait difficulty (PIGD)/falls 
  • Frequent pyramidal signs
  • Early subcortical dementia
  • Possible pseudobulbar palsy
  • Cerebellar features
  • Poor or non-sustained Levodopa response

Postural features

Abnormal gait types

Non-motor symptoms

Differentiation from Parkinson’s disease (PD)

Magnetic resonance imaging (MRI) brain

Dopamine transporter (DAT) scan: patterns

References

  1. Gupta D, Kuruvilla A. Vascular parkinsonism: what makes it different? Postgrad Med J 2011; 87:829-836.
  2. Benamer HTS, Grosset DG. Vascular parkinsonism: a clinical review. Eur Neurol 2009; 61:11-15.
  3. Holm H, Gundersen V, Dietrichs E. Vascular parkinsonism. Tidsskr Nor Laegeforen. 2023; 143(7).

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