Abstract:Objective To explore the research progress on pathogenesis and clinical characteristics of leukoaraiosis (LA).Methods Literatures from January 1987 to January 2016 in PubMed database, CNKI database and Wanfang database with the key words “leukoaraiosis, white matter hyperintensities, white matter lesions.” Literatures about the pathogenesis and clinical characteristics of LA were selected and reviewed.Results LA is frequently seen on MRI scans of the brain in older people and is characterised as bilateral, mostly symmetrical hyperintensities on T2WI and FLAIR sequences. Age and hypertension are the most recognized risk factors for LA. Chronic hypoperfusion and blood-brain barrier damage are deemed to be conceivable pathogenesis for LA. LA also seems to be a major contributor of cognitive decline and has presentation of functional loss, like emotional disorder, gait problems or uracratia dysfunction.Conclusions LA is common in aged population and has multiple clinical manifestations. It may be caused by cerebral small vessel disease, while the mechanism and therapeutic strategy of LA still need to be studied.
钟婷婷, 周华东. 脑白质疏松症发病机制及临床特点的研究进展[J]. 中华解剖与临床杂志, 2017, 22(2): 171-174.
Zhong Tingting, Zhou Huadong.. Research progress on pathogenesis and clinical characteristics of leukoaraiosis. Chinese Journal of Anatomy and Clinics, 2017, 22(2): 171-174.
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