Features of vascular parkinsonism
What are the most important characteristics of vascular parkinsonism?
Multiple vascular lesions in the basal ganglia may be associated with parkinsonism.
Tremor at rest is not a common finding, and bradykinesia and rigidity tend to be more significant in the legs.
In some patients, the findings are virtually limited to the lower extremities; hence the designation of vascular parkinsonism as “lower body” parkinsonism.
Unlike Parkinsons Disease, the gait in patients with vascular parkinsonism is characterized by a broad base.
Some patients show stepwise progression. Associated findings, such as dementia, spasticity, weakness, and Babinski’s signs, are commonly observed.
Neuroradiologic studies, especially MRI, show a multi-infarct state. The response to dopaminergic therapy is usually poor.