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Parkinsonism, vascular with freezing helped with a "trick"

Parkinsonism, vascular with freezing helped with a "trick"

This man has a broad-based gait, severe start hesitation, and "freezing" associated with vascular (lower-body) parkinsonism. Freezing is a sudden and temporary inability to continue walking. The freezing markedly improved with a "trick." When stepping over an obstacle, such as the bar protruding from his cane, he can avoid freezing. Imagined obstacles may work as well. (Contributed by Dr. Joseph Jankovic.)

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Associated Disorders

  • Alzheimer disease
  • Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy (CADASIL)
  • Subcortical arteriosclerotic encephalopathy (Binswanger disease)