Table 1.
CADASIL | Small arteriolosclerosis CSVD | MS | |
---|---|---|---|
Clinical course | Progressive | Progressive | Multiphase course |
Pathological manifestation | Deposition of osmiophilic particles in vascular smooth muscle | Small arteriosclerosis, lipohyalinosis, fibrinoid necrosis | Small perivenous inflammation |
Paraventricular | Involved | The lesion is symmetrical and less likely to be adjacent to the ventricular canal | The lesion is asymmetric and often adjacent to the ventricular canal |
Temporal pole | Early involvement with a characteristic lesion site | Rarely involved | Involved |
Corpus callosum | Commonly involved | Rarely involved | Frequently involved |
U-shaped fiber bundle | Involved | Not involved | Involved |
Cortex | Not commonly involved | Not commonly involved | Involved |
Optical nerve | Not involved | Not involved | Involved |
Brainstem | Early stages are less frequently involved and late stages can involve | Central part of the pons | Peripheral part of the pons (dorsal and ventral), asymmetric |
Spine | Not involved | Not involved | Focally located in the periphery of the spinal cord, short segments, posterior and lateral cords are common |
Laboratory tests | Genetic testing | VRFs | OCB, IgG in the sheath |