Vascular parkinsonism, also known as vascular or arteriosclerotic pseudoparkinsonism, is a neurological condition characterized by symptoms similar to those of Parkinson's disease. However, unlike Parkinson's disease, which is caused by the degeneration of dopamine-producing cells in the brain, vascular parkinsonism is caused by damage to the brain's blood vessels.

Vascular parkinsonism typically occurs as a result of multiple small strokes or other vascular events that affect the blood supply to the basal ganglia and other areas of the brain involved in movement control. These disruptions in blood flow can lead to the dysfunction of the motor pathways, resulting in symptoms that resemble Parkinson's disease.

Common symptoms of vascular parkinsonism include:

Slowness of movement (bradykinesia)
Stiffness and rigidity of the muscles
Tremors (usually less prominent than in Parkinson's disease)
Difficulty with balance and coordination
Walking abnormalities, such as shuffling gait
Difficulty initiating movements
Cognitive impairments (depending on the location and extent of brain damage)
Unlike Parkinson's disease, vascular parkinsonism may have a sudden onset or a step-wise progression, as it is often associated with multiple cerebrovascular events. The condition is typically seen in older individuals who have a history of high blood pressure, diabetes, or other vascular risk factors.

The diagnosis of vascular parkinsonism involves a thorough evaluation of the patient's medical history, physical examination, and neuroimaging studies (such as MRI or CT scans) to identify evidence of vascular damage in the brain. Treatment focuses on managing the underlying vascular risk factors and may involve physical therapy, medications to alleviate symptoms, and lifestyle modifications to promote overall cardiovascular health.

It's important to note that vascular parkinsonism is a distinct condition from Parkinson's disease, although they may share similar symptoms. Therefore, an accurate diagnosis is crucial to ensure appropriate management and treatment. Consulting with a healthcare professional, such as a neurologist, is recommended for a proper evaluation if you suspect vascular parkinsonism or any other neurological condition.

Regenerate response

Vascular Parkinson’s is due to a series of small strokes (TIA’s). It affects the legs primarily.
Former President George HW Bush had it.