Early- and late-phase 18F-FP-CIT PET images in vascular parkinsonism due to midbrain infarct

  • Song Hwangbo
  • Yooha Hong
  • Sang Won Choi
  • Joo Yong Kim
  • You Mie Han
  • Suk Yun KangEmail author
Letter to the Editor

Dear Editor,

The term vascular parkinsonism (VP) has remained debated because the definition is unclear and the mechanisms seem to be heterogeneous [1]. It is suggested that the damage to nigrostriatal and subcortico-cortical pathways may lead to parkinsonism [2]. Dopamine transporter imagings in VP seem to be inconsistent. We introduce a VP patient showing the abnormal dopaminergic activity of the ipsilateral striatum after focal midbrain infarction, which was rarely reported.

A 71-year-old, right-handed woman with a previous history of hypertension visited our clinic for both hand tremor and bradykinesia. She reported that the right hand tremor occurred 4 years ago, and the left hand tremor and bradykinesia, 1 year ago. She denied acute onset of those symptoms. She told us that her hand tremor occurred while writing, using a spoon, and the rest. Constipation occurred 1 year ago, but there were no other non-motor symptoms such as REM sleep behavior disorder (RBD) and urinary problem....


Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.


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Copyright information

© Fondazione Società Italiana di Neurologia 2018

Authors and Affiliations

  1. 1.Department of Neurology, Dongtan Sacred Heart Hospital, College of MedicineHallym UniversityHwaseongRepublic of Korea
  2. 2.Department of Nuclear Medicine, Dongtan Sacred Heart Hospital, College of MedicineHallym UniversityHwaseongRepublic of Korea

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