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Washington University Experience | VASCULAR | Subcortical Arteriosclerotic Encephalopathy | 1A2 Vascular dementia (Case 1) 25
Coronal sections show atherosclerotic vessels and focal periventricular infarcts involving the white matter. Although the grossly visible lesions are not overwhelming in number, white matter microscopic pathology belies the gross involvement. A small lacunar infarct involves the thalamus.