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. 2023 Sep 12;9(4):344–350. doi: 10.1136/svn-2023-002791

Table 1.

Contrast the pathological processes between inflammatory demyelinating white matter disease

Vascular demyelinating WMD Inflammatory demyelinating WMD
Causes Ischaemic or haemorrhagic stroke MS, NMOSD
CSVD including hypertension, diabetes mellitus, migraine, CAA, CADASIL, Susac syndrome and others Vasculopathy, including SLE, sarcoidosis, Behcet disease, Sjögren syndrome
Pathological process Various aetiologies affecting the small arteries, arterioles, venules and capillaries of the brain, leading to endothelial dysfunction, BBB damage and secondary destruction of normal myelin BBB damage and robust inflammatory infiltration combined with demyelination, leading to secondary destruction of normal myelin

BBB, blood-brain barrier; CAA, cerebral amyloid angiopathy; CADASIL, cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy; CSVD, cerebral small vessel disease; MS, multiple sclerosis; NMOSD, neuromyelitis optica spectrum disorders; SLE, systemic lupus erythematosus.