Fazeka's classification is used for grading of changes of small vessel disease.
MR is more sensitive and specific compared to CT, Axial FLAIR is enough.
Fazekas I : Mild, few small punctate lesions in the deep white matter.
Fazekas II : Moderate; larger WMLs that are beginning to become confluent.
Fazekas III : Severe; confluent T2 hyper intensity.
Grade i or Mild:
Grade ii or Moderate:
Grade iii or Severe:
MR is more sensitive and specific compared to CT, Axial FLAIR is enough.
Fazekas I : Mild, few small punctate lesions in the deep white matter.
Fazekas II : Moderate; larger WMLs that are beginning to become confluent.
Fazekas III : Severe; confluent T2 hyper intensity.
Grade i or Mild:
Grade ii or Moderate:
Grade iii or Severe:
Fazekas I is considered normal in aging after 40.
Fazekas II is considered abnormal in patients < 75 Years.
Fazekas III is abnormal in any age group and indicate poor control over diabetes and hypertension.
