血管性假性帕金森综合征易与原发性帕金森病相混淆,然而前者常不需要应用帕金森病药物。作者观察了250例帕金森病患者,在排除了进行性核上性麻痹,多系统萎缩,药物所致的帕金森综合征和甲状旁腺机能亢进等继发病因后,在余下的234例病人中发现在对多巴类药疗效差或无效的病人中有11例(4.4％)是血管性的,这些病人亦具有运动缓慢、强直、面具样脸、手臂摆动动作减少和转身犹豫等症状,步态障碍也常见,均被诊断为帕金森病,但突出的是都没有静止时震颤。神经影象学检查发现 Vascular Parkinson’s disease is easily confused with Parkinson’s disease, but the former often does not need to use Parkinson’s disease drugs. The authors looked at 250 patients with Parkinson’s disease who ruled out the secondary causes of progressive supranuclear palsy, multiple system atrophy, drug-induced Parkinson’s disease and hyperparathyroidism. Of the remaining 234 patients Found that 11 (4.4%) of the patients with poor or ineffective treatment of dopa were vasculogenic. These patients also had symptoms of slow movement, rigidity, mask-like face, reduction of arm swinging motion and turn around hesitation, Common gait disorders are all diagnosed as Parkinson’s disease, but the prominent ones are all without tremor at rest. Nerve imaging examination found