Vascular Parkinsonism

Vascular Parkisonism (VP) can result from infarction or haemorrhage in the nigrostriatal pathway or from small vessel disease in the white matter. Although it represents 2.5-5% of all Parkinsonism cases, VP is frequently misdiagnosed due to its resemblance to other disorders, the lack of definitive biomarkers, and the underestimation of vascular risk factors. A delay in diagnosis can result in inappropriate treatment, delayed management, increased disability, and a worse prognosis. This article aims to delineate the essential clinical and diagnostic characteristics of VP to aid in its early identification and timely treatment in clinical practice.