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. 2020 Dec 20;21(24):9729. doi: 10.3390/ijms21249729

Table 2.

Comparison of the two most common types of CVSD with clinical and neuroimaging characteristics. CVSD—cerebral small vessel disease, CMBs—cerebral microbleeds.

Classification Type I Type II
Characteristic
  • Associated with arteriosclerosis

  • Related age differences

  • Not associated with amyloid deposition

  • Degenerative microangiopathy

  • Associated with amyloid deposition

  • Rated age differences

Etiology
  • Atrophy of smooth muscles in tunica media

  • Aggregate of fibro-hyaline material

  • Stenosis of vessel lumen

  • Degeneration of vessel wall

  • Changing of arterial vessels systems

  • Vasculopathy

  • Aggregate of amyloid in cortical walls or leptomeningeal small arteries but not capillaries

  • Apolipoprotein gene polymorphism

Manifestations
  • Lacunar strokes in deep part of brain

  • Dementia and cognitive impairment

  • Intracerebral hemorrhage in cerebral lobes

  • Non-lacunar strokes

  • Hallmarks of Alzheimer’s disease

  • Cognitive impairment, dementia and transient focal neurological episodes

Radiographic features
  • CMBs in deep part of the brain

  • Rare changes to the siderosis type of the superficial cortical area

  • Presence of basal ganglia perivascular spaces

  • Hyperintensities in the cerebral region of white matter

  • CMB sin cerebral lobes

  • Cortical superficial siderosis

  • Centrum seniovate perivascular space

  • Posterior dominance with white matter hyperintensities