Table 2.
Subtypes of SVD Neuroradiological Aspect | |
---|---|
Recent small subcortical infarct | • Recent infarction in one perforating arteriole and its territory • Increased DWI, FLAIR, T2-weighted signal • Decreased T1-weighted signal • Iso-intense T2-weighted GRE signal |
WMHs | • Increase intensity or hyperintensity on T2-weighted, T2 weighted GRE and FLAIR signal • Iso-intense on DWI and T1-weighted signal • Decrease intensity or hypointense on T1-weighted signal |
Lacune | • Round or ovoid fluid filed cavity mostly in subcortical region • Hyperintensity on T2-weighted signal • Decreased signal in FLAIR and T1-weighted images • Signal similar to CSF • Decreased or iso-intense signal on DWI |
Perivascular space | • Fluid-filled spaces that follow the typical course of a vessel as it goes through gray or white matter similar signal intensity with CSF • Decrease FLAIR and T1-weighted signal • IncreasedT2-weighted-signal • DW1 and T2- weighted GRE signal seems iso-intense |
Cerebral microbleed | • Small, rounded areas of signal void • Iso-intense DWI, FLAIR, 12- and-weighted signal • Best seen in T21 weighted GRE with decreased signal |
SVD: small vessel disease; WMHs: white matter hyperintensities; DWI: diffusion weighted imaging; FLAIR: fluid attenuated inversion recovery; GRE: gradient echo; CSF: cerebrospinal fluid.