Current and Future Developments in Imaging and Treatment of White Matter Disease: A Systematic Review

Sagar N Malani1, Sourya Acharya1, Samarth Shukla1

  • 1Department of Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research (Deemed to Be University), Wardha, IND.

Cureus
|January 24, 2024
PubMed

Insights

This review examines white matter disease, a cause of dementia in the elderly linked to brain infarctions. It explores current therapies and early diagnosis methods for this age-related neurological condition.

Area of Science:

  • Neurology
  • Geriatrics
  • Neuroscience

Background:

  • White matter disease, characterized by repeated brain infarctions, is a primary cause of dementia in the elderly.
  • Degeneration of white matter, crucial for brain-spinal cord communication, leads to age-related neurological decline.
  • Symptoms include dementia, imbalance, and progressive movement disorders.

Purpose of the Study:

  • To review current therapeutic strategies for white matter disease.
  • To identify methods for the early diagnosis of white matter illness.
  • To elucidate the relationship between white matter hyperintensities (WMHs) and neurological disorders.

Main Methods:

  • A systematic literature review was conducted, adhering to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.
  • Searches were performed in ScienceDirect and Medline/PubMed databases.
  • A total of 33 studies were included in the final analysis.

Main Results:

  • The review highlights the complex association between white matter hyperintensities (WMHs) and various neurological conditions.
  • It explores the consequences of WMHs on cognitive and motor functions.
  • Current diagnostic and therapeutic approaches are discussed.

Conclusions:

  • White matter disease significantly impacts the elderly population, contributing to dementia and mobility issues.
  • Further research into early detection and effective treatments for WMHs is crucial.
  • Understanding WMHs is vital for managing age-related neurological decline.