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Abstract #2727

Intrinsic vulnerability of low blood flow watershed to white matter hyperintensities in cerebral small vessel disease

Chunwei Ying1, Andria L. Ford2, Peter Kang2, Alla Al-Habib2, Slim Fellah2, Yasheng Chen2, Jin-Moo Lee1,2, and Hongyu An1

1Mallinckrodt Institute of Radiology, Washington University School of Medicine, St. Louis, MO, United States, 2Department of Neurology, Washington University School of Medicine, St. Louis, MO, United States

White matter hyperintensities (WMH), a major neuroradiological feature of cerebral small vessel disease (CSVD), have a characteristic spatial distribution in the deep white matter and periventricular regions. In this study, we demonstrated a striking spatial overlap between WMH lesion hot spots and the watershed region, defined by a nadir in CBF within the white matter, suggesting that watershed is a region with intrinsic vulnerability to CSVD-related injury.

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