Cerebral perforating arteries are classically described as end‑arteries supplying the deep brain structures, among which the lenticulostriate arteries (LSAs) are the most clinically significant subgroup [1,2]. These vessels originate from the middle cerebral artery and supply the basal ganglia and corona radiata, regions critical for motor and cognitive functions [1,3]. Infarctions involving the LSAs contribute to the onset and progression of cerebral small vessel disease and intracranial athero…