Can cerebral white matter demyelination be cured?
Disease description:
Recently, I was diagnosed with leukoencephalopathy; it was the first time I had heard of this condition. May I ask, is leukoencephalopathy curable?
Doctor's answer (1)
Dr. Yang Ziqi
Leukoencephalic demyelination refers to damage to the myelin sheaths in the white matter regions surrounding neurons in the brain. This type of damage is often permanent, making complete recovery from leukoencephalic demyelination difficult in medical terms. However, although it is not possible to fully restore the damaged neurons and axons, most patients can effectively control disease progression, and even achieve a state of clinical remission, through active treatment. Treatment methods include pharmacotherapy, physical therapy, and rehabilitation training. Glucocorticoids such as methylprednisolone and dexamethasone may be used during acute exacerbations. During remission phases, treatment may involve immunomodulatory and immunosuppressive therapies, as well as symptomatic treatments—for example, specific medications to address symptoms such as fatigue or tremors. In daily life, patients should also avoid emotional agitation, maintain a balance between work and rest, and attend regular follow-up appointments at the hospital to allow timely adjustments to the treatment plan according to disease status.
