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J Neurol Neurosurg Psychiatry 75:1749-1752 doi:10.1136/jnnp.2003.035287
  • Short report

Olfactory function distinguishes vascular parkinsonism from Parkinson’s disease

Table 1

 Demographic data, clinical features, and magnetic resonance imaging findings in the patients with vascular parkinsonism

No Sex Age (years) Duration (years) Onset Clinical features MRI Vascular risk factors L-dopa response MMSE UPSIT
AF, atrial fibrillation; BG, basal ganglia; CHD, coronary heart disease; DWML, deep subcortical white matter lesions (bilaterally); GP, globus pallidus; HF, heart failure; LN, lentiform nucleus; MI, myocardial infarction; MMSE, mini-mental state examination; MRI, magnetic resonance imaging; PWML, periventricular white matter lesions (bilaterally); SN, substantia nigra; UPSIT, University of Pennsylvania smell identification test.
1 M 66 7 Acute Hemiparkinsonism following stroke, later shuffling gait Acute MRI: haemorrhagic infarct contralateral LN; later: DWML, PWML Stroke Equivocal 30 23
2 M 67 3 Acute Hemiparkinsonism following stroke Lesion contralateral SN Hypertension, smoking, hyperlipidaemia, stroke Not tried 30 32
3 M 71 5 Insidious Shuffling gait, lower body parkinsonism DWML, PWML Hypertension, CHD, MI, hyperlipidaemia Not tried (declined) 28 31
4 M 75 6 Insidious Predominantly lower body parkinsonism DWML, PWML Hypertension, mitral valve prolapse, CHD Good 27 24
5 M 76 9 Insidious Shuffling gait, later bradykinesia including upper limbs, blepharospasm DWML, PWML Hypertension Poor 29 23
6 M 82 4 Acute Shuffling gait, predominantly lower body parkinsonism following stroke Bilateral GP lesions, DWML, PWML Stroke Poor 27 18
7 M 88 28 Acute Hemiparkinsonism with tremor, slowly progressive tremor dominant parkinsonism Bilateral GP lesions, DWML, PWML Hypertension, two strokes Absent 29 25
8 M 82 5 Insidious Asymmetric tremor dominant parkinsonism Bilateral PWML, bilateral midbrain lesions Hypertension, diabetes, CHD, HF Good 27 33
9 F 65 3 Insidious Shuffling gait, start hesitation. Mild central hemiparesis resulting from stroke Bilateral lesions inferior BG, DWML, PWML Hypertension, stroke Not tried 28 32
10 F 67 3 Acute Asymmetric parkinsonism with tremor, later predominantly lower body parkinsonism Lesion contralateral GP, DWML, PWML Hypertension, family history of stroke Moderate 30 29
11 F 68 4 Acute Hemiparesis resulting from stroke, later shuffling gait, bradykinesia Lesion contralateral LN, DWML, PWML Hypertension, stroke Equivocal 30 19
12 F 75 9 Insidious Shuffling gait, later asymmetrical parkinsonism with rest tremor DWML, PWML Hypertension, hyperlipidaemia, stroke Equivocal (poor tolerability on low doses) 27 21
13 F 76 4 Insidious Tremor, gait ignition failure DWML, PWML CHD, AF Moderate 29 25
14 F 79 3 Acute Hemiparkinsonism <1 month after stroke, later shuffling gait Lesion contralateral LN, DWML, PWML Hypertension, stroke, hyperuricaemia, CHD, family history of stroke Moderate 28 30

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