“…This finding has now been extended to the early development of Prnp 0/0 mice, which display deficits in motor coordination and balance and vacuolation in several WM tracts at age 6 months. 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.…”