Sporadic cerebral small vessel disease (cSVD) is primarily attributed to heritability and vascular risk factors. Still. our understanding of the causative factors in cSVD lesion burden in the brain is far from complete. This is exemplified by this case of identical twins with remarkably similar vascular risk profiles. https://www.roneverhart.com/Corvette-Taillight-Assembly-Inner-W-Backup-1980-1982/