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. Cerebral ischemic small-vessel disease (SVD), causing lacunar   infarcts and white matter hyperintensities on brain magnetic resonance   imaging (MRI), is a progressive disease associated with an increased risk of   stroke, dementia and death. Increased arterial stiffness has been associated   with ischemic stroke and cerebral SVD independently of common vascular risk   factors. Objective. The aim of the study was to analyze arterial stiffness in   our patients with symptomatic SVD. Methods. In a cross-sectional study design   we included 30 patients with clinical and MRI evidence of cerebral SVD and 30   age-, gender- and risk factor-matched control subjects with no neurological   diseases. Patients were evaluated at the Ultrasound Laboratory at the   Neurology Clinic, Clinical Center of Serbia in Belgrade, during a three-month   period (from September 1st to December 1st 2012). Baseline demographic and   vascular risk factors were recorded. All patients underwent standard carotid   ultrasound scans with measuring of intima-media thickness (IMT) and analysis   of atheromatous plaques. Internal carotid artery stiffness was evaluated with   the use of e-tracking option as beta stiffness index (BSI) value. Results.   There were no differences between study groups in regard to degree of carotid   stenosis and type of carotid plaques (p>0.05). Patients in SVD group had   significantly higher mean IMT (p=0.0093) and mean BSI (p<0.0001) than   subjects in the control group. No significant correlation was detected   between IMT and BSI in SVD group (r=0.168; p=0.376). Brain lesions severity   correlated with BSI (r=0.733; p<0.0001). Conclusion. Arterial stiffness is   increased in symptomatic patients with SVD, independently of vascular risk   factors and IMT. [Projekat Ministarstva nauke Republike Srbije, br. 175022

Carotid artery wall stiffness is increased in patients with small vessel disease: A case-control study