Vascular parkinsonism (VP) is one of the atypical forms of parkinsonism. Parkinsonism is a term for conditions which cause shaking (tremor), slowness of movement (bradykinesia), and stiffness (rigidity) of arms, legs or and trouble with balance (postural instability). Parkinson Disease is the most common form of parkinsonism, accounting for 85% of all cases. In contrast, VP accounts for 2-5% of all cases of parkinsonisms. People with VP are usually older and are more likely to first have difficulty walking rather than shaking or tremors. Individuals with VP are also more likely to have difficulties with their lower body. This means they will have a hard time getting up and walking, but have no problems using their arms and hands. They may also have a history of falling, dementia or decline in intellectual functions, and incontinence. They are more likely to have inappropriate emotional responses, such as crying over events that normally wouldn’t cause one to cry. Risks factors for developing VP include diabetes, high blood pressure and stroke. There are no specific tests for VP or other parkinsonisms. It is recommended that if you are experiencing symptoms, you see a neurologist who specializes in movement disorders. Individuals with VP do not respond to the medications used for Parkinson disease. If the individual has high blood pressure or diabetes, it is important that these conditions be treated, usually with medication. Physical therapy is the most important treatment for those with VP. Like Parkinson disease, VP is progressive, meaning the symptoms become worse over time, although in some cases the changes are very slow. If you or a family member has been diagnosed with VP, talk with your neurologist to determine the best treatment plan. Support groups are also good resources of support and information.