The cortex of the brain is organized into clear horizontal layers, laminae, which subserve much of the connectional anatomy of the brain. We hypothesize that there is also a vertical anatomical organization that might subserve local interactions of neuronal functional units, in accord with longstanding electrophysiological observations. We develop and apply a general quantitative method, inspired by analogous methods in condensed matter physics, to examine the anatomical organization of the cortex in human brain. We find, in addition to obvious laminae, anatomical evidence for tightly packed microcolumnar ensembles containing approximately 11 neurons, with a periodicity of about 80 m. We examine the structural integrity of this new architectural feature in two common dementing illnesses, Alzheimer disease and dementia with Lewy bodies. In Alzheimer disease, there is a dramatic, nearly complete loss of microcolumnar ensemble organization. The relative degree of loss of microcolumnar ensembles is directly proportional to the number of neurofibrillary tangles, but not related to the amount of amyloid- deposition. In dementia with Lewy bodies, a similar disruption of microcolumnar ensemble architecture occurs despite minimal neuronal loss. These observations show that quantitative analysis of complex cortical architecture can be applied to analyze the anatomical basis of brain disorders.A natomical investigations into the organization of cortical structure have relied on tools similar to those used by the great neuroanatomists of the 19th and early 20th centuriesnamely, an appreciation of neuronal size and packing density in lamina, supplemented by information from electrophysiology and tract tracing experiments (1-9). These studies have revealed a somewhat dichotomous view of cortical architecture: an anatomical appreciation of a classic six-layered organization of neocortex and a neurophysiological recognition that functional units frequently reflect a vertical pattern of organization. We hypothesize that neuronal anatomical organization is more complex than simple laminae: We postulate the presence of anatomical units organized perpendicular to the pial surface in the same fashion as the functionally defined columns and develop a method to assess, using quantitative tools, cytoarchitectural patterns in human brain. Using this method, we detect a cytoarchitectural feature that we call a ''microcolumnar ensemble'' in high order association cortex in human brain.