Vascular parkinsonism (VP), a disease caused by cerebrovascular factors as the etiology, is clinically characterized by asymmetric increase in muscle tone, panic gait, stagnation, unsettled tremor, and poor levodopa efficacy. History Several VP patients have a history of hypertension, diabetes mellitus, or hypertension combined with diabetes mellitus, and many have a history of recurrent strokes before the onset of the disease. Symptoms and signs In addition to tonic increase in muscle tone, asymmetric tonus, panic gait, stagnant expression, dementia, Parkinson’s syndrome symptoms, signs, the patient does not have a resting tremor performance, and is often accompanied by cone-bundle sign, pseudo-bulbar palsy. The symptoms and signs of the disease may have spontaneous remission. Other causes of Parkinson’s syndrome and coexistence of Parkinson’s disease and VP should be excluded. 3.Imaging MRI of the head showed that there were vascular damages in the cortex and white matter, such as lacunar infarcts, which were mainly located in the watershed area, basal ganglia, etc. At the same time, frontal white matter foci were seen, such as white matter sparing and other damages. None of its substantia nigra had significant changes. It is generally believed that the vascular damage in patients with remission-onset VP is diffusely located in the watershed area, while the vascular damage in patients with acute-onset VP is mainly located in the basal ganglia area.