Introduction Cerebral small vessel disease (SVD) is believed to be a major contributor to dementia, cognitive decline and stroke among older people.1,2 Important MRI manifestations of SVD are white matter hyperintensities (WMH), microbleeds, perivascular spaces (PVS) and lacunes.3,4 These markers are not exclusive to SVD but can be seen in the population with an increasing occurrence with advancing age and vascular risk burden, particularly hypertension.1,5 The pathophysiology behind SVD is...