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There is a common molecular basis and neurobiological mechanism in the pathogenesis of cerebral small vessel disease (CSVD) and degenerative diseases in central nervous system (such as Alzheimer′s disease, Parkinson′s disease and frontotemporal degeneration), including hypoxia, vascular endothelial dysfunction, impairment of cerebrovascular vasomotor response, dysfunction of blood-brain barrier and impairment of glial lymphatic pathway. The CSVD patients complicated with the neurodegenerative diseases often show different clinical phenotypes, disease process and outcome from neurodegenerative diseases. The cerebrospinal fluid biomarkers show certain value in the diagnosis of CSVD complicated with neurodegenerative diseases. The brain network has a certain application prospect in comprehensive study of the relationship between CSVD and neurodegenerative diseases. In the future, the treatment of neurodegenerative diseases focusing on vascular neuroinflammatory model will show broad prospects.