Table 2.

A summary of brain histology findings in patients with TA-TMA

General CNS histologyVascular histology attributable to TA-TMALocation of TA-TMA–related changes
  • Global white matter loss

  • Edema (global and perivascular)

  • Macrophage infiltration

  • Demyelination

  • Hydrocephalus ex vacuo

  • Gliosis

 
  • Increased vascular wall-to-lumen ratio

  • Vascular basement membrane splitting

  • Vascular wall reduplication

  • Perivascular hemosiderin deposition

  • Perivascular hemorrhage

  • Microinfarcts

  • Ischemic reperfusion injury and repair

 
  • Cerebellum

  • Brainstem

  • Cerebral white matter

 
General CNS histologyVascular histology attributable to TA-TMALocation of TA-TMA–related changes
  • Global white matter loss

  • Edema (global and perivascular)

  • Macrophage infiltration

  • Demyelination

  • Hydrocephalus ex vacuo

  • Gliosis

 
  • Increased vascular wall-to-lumen ratio

  • Vascular basement membrane splitting

  • Vascular wall reduplication

  • Perivascular hemosiderin deposition

  • Perivascular hemorrhage

  • Microinfarcts

  • Ischemic reperfusion injury and repair

 
  • Cerebellum

  • Brainstem

  • Cerebral white matter

 

General and vascular-specific histologic findings are shown for patients with TA-TMA who underwent autopsy at our institution and had sufficient brain tissue available for examination (n =13). These findings coincide with the general and vascular injury scores shown for each patient in Table 1.

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