Vascular Parkinsonism

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Patients with cerebrovascular disease may develop features of parkinsonism (173-175) and a small but significant fraction of those with a clinical diagnosis of idiopathic PD will turn out to have vascular lesions demonstrated by neuroimaging or at autopsy (2,176). This "vascular pseudoparkinsonism" is most often seen in patients with cerebral arteriolosclerosis and multiple small lacunar infarcts affecting the basal ganglia or deep cerebral white matter (173-177) but has also been reported with isolated lesions of the substantia nigra (178,179).

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