Vascular Parkinsonism

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Vascular Parkinsonism. Masked but not expressionless facies. Fully referenced neurology checklist.

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

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Abnormal gait types

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Non-motor symptoms

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Differentiation from Parkinson’s disease (PD)

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Magnetic resonance imaging (MRI) brain

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Dopamine transporter (DAT) scan: patterns

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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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