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. 2020 Sep 9;20(5):70. doi: 10.3892/etm.2020.9198

Table I.

The pathological grading standard.

Grade Microscopic description
- No lesion.
  0.
+ 1. Focal edema of gray and white matter, cells dissolved;
  2. Focal atrophy of gray and white matter, hyperchromatic nuclei and cytoplasm;
  3. Focal slight cellular proliferation (mainly gliacyte);
  4. Slight perivascular edema;
  5. Slight vascular engorgement and hemorrhage;
  6. Slight inflammatory cell infiltration;
  7. Slight gray matter atrophy;
  8. Slight ependymal cells proliferation.
  It was graded as ‘+’ when conformed to one of all above, score of which was 1.
++ 1. Multifocal edema of gray and white matter, cells dissolved;
  2. Focal atrophy of gray and white matter, hyperchromatic nuclei and cytoplasm;
  3. Focal cellular proliferation (mainly gliacyte);
  4. Medium vascular edema and hemorrhage;
  5. Medium inflammatory cells infiltration;
  6. Medium perivascular edema.
  It was graded as ‘++’ when conformed to one of all above, score of which was 2.
+++ 1. diffuse edema of gray and white matter, cells dissolved;
  2. Multifocal atrophy of gray and white matter, hyperchromatic nuclei and cytoplasm;
  3. Focal mass cellular proliferation (mainly gliacyte);
  4. Severe vascular edema and hemorrhage;
  5. Severe inflammatory cell infiltration.
  It was graded as ‘+++’ when conformed to one of all above, score of which was 3.