How to treat cerebral white matter degeneration

Apr 20, 2023 Source: Cainiu Health
Dr. Yang Jun
Introduction
Leukoencephalopathy may be caused by hypertension, diabetes, carbon monoxide poisoning, encephalitis, etc. In cases of hypertension, treatment primarily involves antihypertensive medications. For diabetes, hypoglycemic drugs are required. In cases of carbon monoxide poisoning, the patient should be moved to an area with fresh air to prevent further exposure, and promptly sent to a hospital for oxygen therapy.

Leukoencephalopathy may be caused by conditions such as hypertension, diabetes, carbon monoxide poisoning, etc., and treatment should be directed at the underlying cause. Specific analyses are as follows:

1. Hypertension

If a patient has long-standing hypertension or similar symptoms, it may lead to hyaline degeneration of the small arteries supplying the brain's white matter. Medication under medical guidance—such as amlodipine tablets, nifedipine tablets, or felodipine tablets—can be used for treatment.

2. Diabetes

Patients with diabetes may experience glucose metabolism disorders, which can easily damage mature myelin phospholipids in the brain, leading to leukoencephalopathy. Blood glucose-lowering medications can be administered under medical supervision, such as glimepiride tablets, gliclazide tablets, or voglibose tablets.

3. Carbon Monoxide Poisoning

After carbon monoxide poisoning, patients may develop cerebral ischemia and hypoxia affecting both the cerebral cortex and white matter, resulting in leukoencephalopathy. The patient should be moved immediately to an area with fresh air to avoid further exposure to carbon monoxide, and promptly transported to a hospital for oxygen therapy.

Besides the above causes, leukoencephalopathy may also be associated with diseases such as encephalitis. It is recommended to seek prompt medical treatment at a hospital.

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