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February 1996

Advances in Neurology, Vol 62: Cerebral Small Artery Disease

Author Affiliations

Rochester, NY

Arch Neurol. 1996;53(2):119-120. doi:10.1001/archneur.1996.00550020021007

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables.


This book is an excellent, in-depth, clinically oriented review of cerebral small artery disease. Written by 10 contributing authors, it contains 12 chapters and a total of about 1000 references. It is printed on glossy paper, and all accompanying graphics are black and white. The authors clarify and define the various terms that are used in describing the pathologic features, clinical syndromes, and brain images associated with cerebral small artery disease, terms that have created confusion and inhibited constructive dialogue in the past. Defined terms include lacunar infarct, lacuna, small deep infarct, and presumed lacunar infarct.

The book starts with a historical review of lacunae and the "lacunar controversy." Chapters 2 through 5 review small artery anatomy, small artery vascular territories, neuroimaging of subcortical ischemic lesions, and the pathology of small artery disease. All four of these chapters possess helpful pictorials, tables, and representative brain images. Chapter 6 is on

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