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FIGURE 4–10. Normal brain: horizontal section through the basal ganglia (left). Vascular dementia, Binswanger's subcortical arteriosclerotic encephalopathy: horizontal section through the basal ganglia at the same level (right).In the vascular dementia brain, the ventricles are dilated and the white matter is pitted and granular.

FIGURE 4–11. Vascular dementia with multiple lacunar infarcts (arrows): coronal section of brain.Multiple lacunar infarcts are seen in the basal ganglia. These may cause strokes. Because the individual lesions may occur at different times, there is a stepwise progression of dementia.

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