{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T06:54:03Z","timestamp":1777877643415,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T00:00:00Z","timestamp":1728518400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Neurohospitalist"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:p>Parkinsonism, commonly associated with Parkinson disease (PD), can also arise from other neurodegenerative disorders or non-neurodegenerative causes such as vascular parkinsonism (VP). This case highlights the acute onset of VP following a stroke, contributing to the understanding of VP\u2019s varied presentations and the challenges in its diagnosis. A 54-year-old male with a history of cerebrovascular disease presented with behavioral changes and reduced activity, initially raising the suspicion of a central nervous system infection. Clinical findings included agitation, decreased social interaction, mutism, drooling, immobility, and rigidity. Imaging revealed acute infarction in the left cortical parieto-occipital region, caudate nucleus, and putamen, along with old infarcts, confirming VP. The primary diagnosis was vascular parkinsonism and he was started on anticoagulation therapy and levodopa\/carbidopa, which showed minimal improvement over 6\u00a0months. This case underscores the importance of considering VP in patients with acute parkinsonian symptoms and a history of cerebrovascular disease. It highlights the necessity for prompt evaluation and management of vascular risk factors to optimize patient outcomes. Additionally, it emphasizes the need for a multidisciplinary approach in treating VP, given the limited efficacy of traditional Parkinson disease medications.<\/jats:p>","DOI":"10.1177\/19418744241290847","type":"journal-article","created":{"date-parts":[[2024,10,10]],"date-time":"2024-10-10T09:44:12Z","timestamp":1728553452000},"page":"206-210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Acute Ischemic Stroke Presenting as Hemiparkinsonism: A Case Report"],"prefix":"10.1177","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4320-1107","authenticated-orcid":false,"given":"Essam","family":"Al-Sibahee","sequence":"first","affiliation":[{"name":"University of Baghdad, College of Medicine, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mustafa Najah","family":"Al-Obaidi","sequence":"additional","affiliation":[{"name":"University of Baghdad, College of Medicine, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Asmaa","family":"Al-Sharee","sequence":"additional","affiliation":[{"name":"Department of Neuroradiology, Neurosurgical Teaching Hospital, Baghdad, Iraq"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,10,10]]},"reference":[{"key":"bibr1-19418744241290847","doi-asserted-by":"publisher","DOI":"10.4045\/tidsskr.22.0539"},{"key":"bibr2-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20083"},{"key":"bibr3-19418744241290847","doi-asserted-by":"publisher","DOI":"10.4103\/aian.AIAN_194_18"},{"key":"bibr4-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1159\/000165343"},{"key":"bibr5-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1136\/postgradmedj-2011-130051"},{"key":"bibr6-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.56.1.98"},{"key":"bibr7-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2007.08.001"},{"key":"bibr8-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870120630"},{"key":"bibr9-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870010405"},{"key":"bibr10-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1996.tb00015.x"},{"key":"bibr11-19418744241290847","doi-asserted-by":"publisher","DOI":"10.1161\/01.STR.32.1.258"}],"container-title":["The Neurohospitalist"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744241290847","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/19418744241290847","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/19418744241290847","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T22:57:41Z","timestamp":1777589861000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/19418744241290847"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,10]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,4]]}},"alternative-id":["10.1177\/19418744241290847"],"URL":"https:\/\/doi.org\/10.1177\/19418744241290847","relation":{},"ISSN":["1941-8744","1941-8752"],"issn-type":[{"value":"1941-8744","type":"print"},{"value":"1941-8752","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,10]]}}}