Table 1.
Degree of alteration (score points) | |||||
---|---|---|---|---|---|
Aspect | Staining | No pathology (0) | Mild (1) | Moderate (2) | Severe (3) |
Leptomeninx | |||||
Proliferation of connective tissue | HE | No or very few (0–4)a fibroblasts | Few (5–9)a fibroblasts | Moderate numbers (10–50)a of fibroblasts, collagen fibres in subarachnoidal space | Many (>50)a fibroblasts, subarachnoidal space and pia mater cannot be discriminated |
PsR | |||||
Infiltration with lymphocytes and plasma cells | HE | None | Focally few (<10)a cells | Multifocally moderate (10–50)a numbers of cells | Multifocally many (>50)a cells or diffuse infiltration |
Central zone (necrosis) | |||||
Proliferation of connective tissue | HE | No or very few (0–4)a fibroblasts | Few (4–9)a fibroblasts, scattered collagen fibres | Moderate numbers (10–50)a of fibroblasts, multifocally dense collagen fibres | Many (>50)a fibroblasts, pia mater and collagen fibres in the necrotic area cannot be discriminated |
PsR | |||||
Infiltration with lymphocytes and plasma cells | HE | None | Focally few (<10)a cells | Multifocally moderate (10–50)a numbers of cells | Multifocally many (>50)a cells or diffuse infiltration |
Blood vessel density | HE | No blood vessels | Low density of blood vessels (<10)a | Moderate density of blood vessels (10–30)a | High density of blood vessels (>30)a |
Reactive and remote zone, contralateral hemisphere | |||||
Cytolytic neuronal alterationsb | HE | None | Few (<10%)a | Moderate (10–30%)a | Many (>30%)a |
Spheroidsc | HE | None | Few (1–4)a | Moderate (5–20)a | Many (>20)a |
Blood vessel densityc,d | HE | Not increasedd | Slightly increasedd (+10% or less)a | Moderately increasedd (+10 to +30%)a | Massively increasedd (+30% or more)a |
Perivascular infiltration with lymphocytes and plasma cellsc | HE | None | Focally few (1–4)a cells | Multifocally moderate (5–20)a numbers of cells | Multifocally many (>20)a cells or diffuse infiltration |
Microglial recruitment | HE | Not relevantly increasede (<20)a | Slightly increasede (20–30)a | Moderately increasede (30–60)a | Massively increasede (>60)a |
aRefers to microscopic field of view at ×10 magnification
bGrey matter only
cGrey and white matter
dRefers to corresponding area in contralateral hemisphere
eRefers to corresponding area in contralateral hemisphere of non-stroked (sham) animals