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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