AUTHOR=Shu Junlong , Fei Wen , Zhang Jing , Li Fan , Hao Yu , Ding Zhijie , Tseyang , Drolma , Ji Shiyong , Zhao Weiwei , Hu Yaxiong , Sun Wei , Huang Yining , Zhao Yuhua , Zhang Wei TITLE=Cerebral small-vessel disease at high altitude: A comparison of patients from plateau and plain JOURNAL=Frontiers in Neurology VOLUME=Volume 14 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/neurology/articles/10.3389/fneur.2023.1086476 DOI=10.3389/fneur.2023.1086476 ISSN=1664-2295 ABSTRACT=Cerebral small-vessel disease (CSVD) is a worldwide syndrome that has multiple neuroimaging markers such as white matter hyperintensity (WMH) and lacune. The environment of high altitude may have an impact on the pathogenesis and phenotype of CSVD, but the report is scarce. We conducted research to explore the clinical and neuroimaging characteristics of CSVD patients at high altitude. Patients of CSVD residing at high altitude showed more severe WMH but less acute cerebrovascular events and lacunes in neuroimaging, comparing to patients residing at low altitude. Our findings suggest potential biphasic effect of high altitude on the occurrence and progression of CSVD.