“…29 In the human brain, pathologic studies of terminal CJD reported axonal damage, and suggested the possibility of retrograde axonal transport of prions, infecting multiple sites along neuroanatomic pathways. 27,[30][31][32] In the Japanese panencephalopathic variant (pCJD), WM damage has been noted in the internal capsule, brain stem, and middle cerebellar peduncles, 33 consistent with our imaging findings. In vCJD (the variant CJD associated with consumption of tainted beef), vacuolation, PrP deposition, and glial cell reaction were observed in the cortical WM of all 11 cases studied.…”