[[Pediatric cerebrovascular disease]]. ---- The most common presentation of cerebrovascular disease is an [[ischemic stroke]] or mini-stroke and sometimes a [[hemorrhagic stroke]]. [[Hypertension]] (high blood pressure) is the most important contributing risk factor for stroke and cerebrovascular diseases as it can change the structure of blood vessels and result in [[atherosclerosis]]. ---- Cerebrovascular diseases have traditionally been classified, diagnosed and managed based on their luminal characteristics. However, over the past several years, several advancements in MRI techniques have ushered in [[high-resolution vessel wall imaging]] (HR-VWI), enabling evaluation of intracranial vessel wall pathology. These advancements now allow us to differentiate diseases which have a common angiographic appearance but vastly different natural histories (i.e. moyamoya versus atherosclerosis, reversible cerebral vasoconstriction syndrome versus vasculitis, stable versus unstable intracranial aneurysms) ((Brinjikji W, Mossa-Basha M, Huston J, Rabinstein AA, Lanzino G, Lehman VT. Intracranial vessel wall imaging for evaluation of steno-occlusive diseases and intracranial aneurysms. J Neuroradiol. 2016 Nov 8. pii: S0150-9861(16)30173-0. doi: 10.1016/j.neurad.2016.10.003. [Epub ahead of print] Review. PubMed PMID: 27836652. )). ---- [[Aneurysm]]. [[Arteriovenous malformation]]. [[Ischemic cerebrovascular disease]]. [[Intracerebral hemorrhage]]. [[Moyamoya disease]]