“…In fact, the Vonsattel neuropathological staging criteria recognize pathological changes to occur in numerous neuroanatomical regions at later stages of disease progression, including the broader cortical mantle, cerebellum, thalamus, and substantia nigra [ 19 , 20 , 21 ]. Loss of white matter integrity, believed to be both a cause and result of damage of gray matter neurons, is another pathological feature of HD and can be detected through multiple imaging modalities in HD individuals and small animal models [ 22 , 23 , 24 , 25 ].…”