Glossary of Terms
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granular osmiophilic material:
these are the abnormal collections of material observed on a skin biopsy under high magnification. The presence of GOM would suggest with certainty that an individual does have CADASIL. However, there are times when skin biopsies are normal even in patients with definite CADASIL. GOM can be detected on skin biopsy in 60-80% of CADASIL patients.