Bilateral cerebral white matter lesions
May 15, 2023
Source: Cainiu Health
Dr. Yang Jun
Introduction
Bilateral cerebral white matter lesions may be caused by atherosclerosis, cerebral thrombosis, brain trauma, etc. Atherosclerosis can lead to vascular narrowing and occlusion, resulting in insufficient blood supply, hypoxia, and ischemia in the brain, thereby causing white matter lesions. Patients may take lipid-lowering medications such as atorvastatin calcium tablets or fenofibrate capsules under medical guidance for treatment.
In general, bilateral cerebral white matter lesions may be caused by factors such as traumatic brain injury, cerebral thrombosis, and arteriosclerosis. A detailed analysis is as follows:
1. Traumatic Brain Injury
If the head suffers direct impact or compression from external force, it can easily cause physical damage to brain tissue and neuronal injury, potentially leading to pathological changes in the white matter such as disruption of nerve fiber tracts, demyelination, and hemorrhage. Patients may undergo surgical treatment under a doctor's guidance, including hematoma removal or procedures to reduce intracranial pressure. After surgery, massage, physical therapy, and other methods may help improve blood circulation and promote nerve regeneration, thereby alleviating symptoms and restoring function.
2. Cerebral Thrombosis
When a cerebral thrombosis forms, it may lead to vascular damage, causing spasms, atrophy, or hardening of small vessels within the white matter. Under medical supervision, patients may receive treatments such as angioplasty or thrombectomy.
3. Arteriosclerosis
Arteriosclerosis can result in narrowing and blockage of blood vessels, reducing cerebral blood supply and causing hypoxia and ischemia, which in turn leads to white matter lesions. Under a doctor’s guidance, patients may take lipid-lowering medications such as atorvastatin calcium tablets or fenofibrate capsules for treatment.
Besides the above causes, conditions such as encephalitis, cerebral infarction, and multiple sclerosis may also contribute. Patients should seek medical evaluation to identify the underlying cause and receive standardized treatment, along with actively engaging in rehabilitation training, which can aid in recovery.
