Teach You About Vascular Parkinsonism

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1. What is Vascular Parkinsonism?

Vascular Parkinson's Syndrome (VP) is a relatively common type of secondary Parkinson's syndrome and is a term for Parkinson's-related symptoms caused by cerebrovascular disease. The primary disease is a series of manifestations caused by cerebral infarction, cerebral hemorrhage, etc., and finally caused by muscular dystonia. Cerebrovascular disease is secondary to Parkinson's syndrome, in addition to the functional impairment caused by cerebrovascular diseases, such as hemiplegia, aphasia, cognitive dysfunction, but also muscle tone problems, life ability problems, non-motor symptoms problems, including constipation, mood, mental symptoms, limb pain, and bradykinesia, tremor, etc.

2. Prevalence and etiology

Most of the affected people are middle-aged and elderly people, and there are slightly more men. The cause is cerebrovascular disease, such as cerebral infarction, lacunar cerebral infarction, cerebral small vessel disease, cerebral hemorrhage, etc. The risk factor is the risk factor of cerebrovascular diseases, such as hypertension, atherosclerosis, diabetes, hyperlipidemia, smoking drinking, etc.

3. What type?

According to different clinical manifestations and intracranial lesions, the disease can be divided into two categories: unilateral Parkinson's syndrome and lower-body Parkinson's syndrome (also known as PIGD-type VP).

Characteristics of Hemiparkinsonism: After a stroke, the contralateral limb at the stroke site is abnormal, manifested as decreased activity, rigidity, and stiffness of the limbs, and may also be accompanied by symptoms such as resting tremor, which can be acute onset or after cerebral infarction. Subacute onset.

The characteristics of lower body Parkinson's syndrome: the onset time is not obvious, abnormal walking gait, postural instability or dementia appear in the early stage, mild symptoms in the upper limbs, no resting tremor, mainly gait balance disorder in both lower limbs, small broken steps, Broad basal gait, a longer course of the disease will be accompanied by severe cognitive impairment and urination disturbance.

4. How should vascular parkinsonism be treated?

First of all, it is necessary to actively treat primary diseases such as cerebrovascular disease. Parkinson's drug treatment can be given to patients with hemilateral Parkinson's syndrome. Parkinson's drugs are often ineffective for patients with lower-body Parkinson's syndrome, and most patients will gradually lose their lives. Self-care ability.

Comprehensive and systematic comprehensive treatment, including western medicine treatment, rehabilitation gait training, application of Chinese herbal medicine and acupuncture, and other Chinese medicine treatments, is helpful for the rehabilitation of patients with vascular parkinsonism.

5. The harm of vascular parkinsonism and how to prevent it

If there is no timely treatment, some patients will have impaired motor ability, gradually decline in cognitive function, and cannot take care of themselves. In addition, patients with poor exercise ability are prone to falls and other situations in life, which may cause trauma and fractures, resulting in a worse prognosis.

The main preventive measures include: actively controlling the risk factors of cerebrovascular disease, controlling blood pressure, blood sugar, blood lipids, etc., quitting smoking and limiting alcohol, avoiding the occurrence of cerebrovascular disease, actively treating cerebrovascular disease, and maintaining good living habits.