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Impaired cerebrovascular reactivity in patients with Huntington's disease
Suk-tak Chan1, Nathaniel Mercaldo2, Kenneth K. Kwong1, Steven M. Hersch3, and Herminia D. Rosas3
1Athinoula A. Martinos Center for Biomedical Imaging, Department of Radiology, Massachusetts General Hospital, Charlestown, MA, United States, 2Department of Radiology, Massachusetts General Hospital, Boston, MA, United States, 3Department of Neurology, Massachusetts General Hospital, Boston, MA, United States
Alterations in cerebrovascular function was found in HD and the dominance of such alterations in white matter further suggests the signs of small vessel disease. The impaired cerebrovascular reactivity may be an important, not as yet considered, contributor to early neuropathology in HD. 
Figure 1. Group comparison of cross-correlation of ΔBOLD with PETCO2 between HD subjects and healthy controls after adjusting for age, corrected at pfdr<0.05. Cold colors represent weaker cross-correlation in HD subjects when compared with controls.
Figure 2. Map of delayed BOLD responses to increased PETCO2 in a representative HD subject. The magnitude of time delay in BOLD responses relative to PETCO2 increases from cold colors to warm colors.