Antarctic and Greenland ice-core records reveal large fluctuations of dust input on both orbital and millennial time-scales with potential global climate implications. At least during glacial periods, the Antarctic dust fluctuations appear to be largely controlled by environmental changes in southern South America. We compare dust flux records from two Antarctic ice-cores to variations in the composition of the terrigenous supply at ODP Site 1233 located off southern Chile and known to record fluctuations in the extent of the northern part of the Patagonian ice-sheet (NPIS) during the last glacial period (Marine Isotope Stage, MIS, 4 to 2). Within age uncertainties, millennial-scale glacial advances (retreats) of the NPIS correlate to Antarctic dust maxima (minima). In turn, NPIS fluctuations were closely related to offshore sea surface temperature (SST) changes. This pattern suggests a causal link involving changes in temperature, in rock flour availability, in latitudinal extensions of the westerly winds and in foehn winds in the southern Pampas and Patagonia. We further suggest that the long-term trend of dust accumulation is partly linked to the sea-level related changes in the size if the Patagonian source area due to the particular morphology of the Argentine shelf. We suggest that sea-level drops at the beginning of MIS 4 and MIS 2 were important for long-term dust increases, while changes in the Patagonian dust source regions primarily control the early dust decrease during the MIS 4/3 transition and Termination 1. Abstract Copyright (2010) Elsevier, B.V.