In an observational cohort study based on the Atherosclerosis Risk in Communities-Neurocognitive Study (ARIC-NCS), the presence of lobar and mixed CMBs was associated with incident dementia. stroke.

BACKGROUND: Cerebral microbleeds (CMBs) are associated with dementia, but the impact of specific microbleed patterns (with distinct pathophysiologies) is unclear. Lobar CMBs commonly result from cerebral amyloid angiopathy (sometimes with cortical superficial siderosis [cSS]), while subcortical microbleeds indicate a hypertensive cause. This study investigates the association of CMB presence, patterns, and frequency with dementia risk. METHODS: Participants from the ARIC-NCS (Atherosclerosis Risk in Communities-Neurocognitive Study), a community-based longitudinal cohort, with a 3T research magnetic resonance imaging at visit 5 (2011–2013) without prior intracerebral hemorrhage or dementia, were included. CMB and cSS presence and location were evaluated using a T2 gradient-recalled echo sequence.