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Washington University Experience | VASCULAR | Subcortical Arteriosclerotic Encephalopathy | 2B4 Binswanger's Dz (Case 2) H&E N5 2X
2B4-6 This area, marked with an arrowhead in image #2B1, can be a difficult lesion to characterize. Specifically in the occipital lobe there is normally an area of periventricular ependymal fusion in which there is a periventricular area of pallor, accompanied by ependymal nests (see section on ependymal fusion) and markedly thickened hyalinized vessels. In this case the identification would have been easier if the ependymal nests were present but it this case they may be deep to the plane of the section (H&E)
