What does it mean when an MRI shows white matter?

White matter lesions are among the most common incidental findings—which means the lesions have no clinical significance—on brain scans of people of any age. They may also reflect a mixture of inflammation, swelling, and damage to the myelin.
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Is white matter on MRI normal?

Summary. White spots on a brain MRI are not always a reason for concern. There are many possible causes, including vitamin deficiencies, infections, migraines, and strokes. Other risk factors for white spots include age, genetics, obesity, diabetes, hypertension, and high cholesterol.
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Is white matter on brain serious?

Originally, white matter disease was considered a normal, age-related change. But over the last decade, medical experts have come to understand that the presence of large areas of disease in the white matter of the brain are associated with cognitive decline and dementia in patients.
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What does white matter on MRI mean?

White matter lesions (WMLs) are areas of abnormal myelination in the brain. These lesions are best visualized as hyperintensities on T2 weighted and FLAIR (Fluid-attenuated inversion recovery) sequences of magnetic resonance imaging. They are considered a marker of small vessel disease.
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What does it mean to have white matter on the brain?

White matter is found in the deeper tissues of the brain (subcortical). It contains nerve fibers (axons), which are extensions of nerve cells (neurons). Many of these nerve fibers are surrounded by a type of sheath or covering called myelin. Myelin gives the white matter its color.
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MS white matter lesions



What diseases cause white matter on the brain?

White matter disease may develop with conditions associated with aging, such as stroke, but it can also affect young people due to conditions such as cerebral adrenoleukodystrophy and multiple sclerosis (MS). Read on to learn more about white matter disease and its symptoms, causes, and prognosis.
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Can white matter lesions in the brain be nothing?

Studies have found that white matter lesions appear in some degree on brain scans of most older adults but less often in younger people. White matter lesions are among the most common incidental findings—which means the lesions have no clinical significance—on brain scans of people of any age.
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How common is white matter disease?

White matter disease is responsible for about a fifth of all strokes worldwide, more than doubles the future risk of stroke, and is a contributing factor in up to 45% of dementias.
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How common are white matter lesions?

White-matter lesions

They are highly frequent in the elderly population. In people aged 60–70 years the prevalence is about 87%, whereas the prevalence at the age of 80–90 years even approaches 100% (de Leeuw et al., 2001; Launer, 2004).
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Is there a cure for white matter disease?

Treatments: While there is no known cure for white matter disease, treatments can help to manage the symptoms. Controlling the risk factors associated with heart disease can help decrease the progression of the disease.
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Can white matter disease cause headaches?

Patients with extensive white matter hyperintensities are likely to have tension-type headaches or to have headaches develop during middle age, according to results published in Cephalagia. Currently, there are no established treatments or strategies for managing white matter hyperintensities.
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Can white matter in the brain be repaired?

White matter injuries are very serious, but, depending on the type and extent of the injury, extensive recovery may occur. As long as the neuron cell bodies remain healthy, axons can regrow and slowly repair themselves.
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Is white matter disease the same as MS?

White Matter Consists Mainly of Nerve Fibers

In MS, the immune system attacks the myelin in the brain, spinal cord, and optic nerves. The attack causes inflammation that eventually leads to sclerosis, which is the medical term for scarring. (That's how MS got its name.)
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Does white matter lesions mean MS?

DIFFERENTIAL RADIOLOGICAL DIAGNOSIS OF WHITE MATTER LESIONS. White matter T2 hyperintensities in the brain are not specific to MS and are seen in a number of other disorders. They can even be seen in otherwise normal individuals, particularly with increasing age.
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Can stress cause white matter lesions?

Increased exposures to stressful events are associated with a corresponding increase in the progression of white matter hyperintensities.
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What can cause white matter lesions?

Major causes of periventricular white matter (PWM) lesions include normal changes from aging (then they are called UBO's, for "unidentified bright objects), small strokes, and disorders related to multiple sclerosis (MS). PWM are also correlated with vitamin B6 (pyridoxine) deficiency.
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Does white matter increase with age?

Age-correlated studies reveal that the changes in white matter may be much higher than those of gray matter (Miller et al., 1980). Upto 40 years of age, the white matter volume increases and is closely related to the formation of the myelin sheath (Courchesne et al., 2000; Bartzokis, 2004).
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What are the symptoms of white matter lesions?

Symptoms of white matter disease may include:
  • issues with balance.
  • walking slow.
  • more frequent falls.
  • unable to do more than one thing at a time, like talking while walking.
  • depression.
  • unusual mood changes.
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Does early dementia show up on an MRI?

In the early stages of Alzheimer's disease, an MRI scan of the brain may be normal. In later stages, MRI may show a decrease in the size of different areas of the brain (mainly affecting the temporal and parietal lobes).
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Do white spots on MRI mean MS?

White matter lesions observed on brain MRI are usually characteristic and occur in specific areas including the corpus callosum and pons. “However, in many cases, the white matter lesions as isolated observations are nonspecific” and could be due to MS or another cause, explained Drs Lange and Melisaratos.
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Can white matter disease be misdiagnosed?

We have seen several patients in whom we believe MS was misdiagnosed, based on observation of white matter lesions. As MS is rare, and migraine extremely common (roughly 14% of population), there is a substantial chance of a false positive diagnostic error.
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What does white matter signal abnormalities mean?

Abstract. White matter lesions, quantified as 'white matter signal abnormalities' (WMSA) on neuroimaging, are common incidental findings on brain images of older adults. This tissue damage is linked to cerebrovascular dysfunction and is associated with cognitive decline.
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How do you keep white matter healthy?

White matter, on the other hand, responds mainly to a steady diet of healthy fats, because brain matter is made up of fats. If you are out for dinner, dump dark green olive oil all over your meal. Or go for other sources of wonderful fats: cold water fish, organic nut butters, coconut and avocados.
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Can white matter cause dizziness?

We postulate that white matter lesions may induce dizziness either because patients perceive a degree of objective unsteadiness or by a cortical–subcortical disconnection syndrome, secondary to disruption of white matter tracts involved in gait and balance control [16], [17].
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What doctor do you see for white matter disease?

A radiologist, particularly a neuroradiologist, has expertise in what the brain should look like on an MRI. When evaluating for white matter disease, the radiologist will be looking for abnormal signal in the brain tissue.
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