White matter of the brain: MedlinePlus Medical Encyclopedia (2024)

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. It also protects the nerve fibers from injury. It improves the speed and transmission of electrical nerve signals along extensions of the nerve cells called axons.

By comparison, gray matter is tissue found on the surface of the brain (cortical). It contains the cell bodies of neurons, which give gray matter its color.

References

Brat DJ. Normal brain histopathology. In: Perry A, Brat DJ, eds. Practical Surgical Neuropathology: A Diagnostic Approach. 2nd ed. Philadelphia, PA: Elsevier; 2018:chap 2.

Kumar V, Abbas AK, Aster JC, Deyrup AT, Das A. Central nervous system and eye. In: Kumar V, Abbas AK, Aster JC, Deyrup AT, Das A, eds. Robbins & Kumar Basic Pathology. 11th ed. Philadelphia, PA: Elsevier; 2023:chap 21.

Wen HT, Kadri PAS, Mussi ACM, de Oliviera E, Rhoton AL. Surgical anatomy of the brain. In: Winn HR, ed. Youmans and Winn Neurological Surgery. 8th ed. Philadelphia, PA: Elsevier; 2023:chap 2.

Review Date 1/23/2023

Updated by: Joseph V. Campellone, MD, Department of Neurology, Cooper Medical School of Rowan University, Camden, NJ. Review provided by VeriMed Healthcare Network. Also reviewed by David C. Dugdale, MD, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

White matter of the brain: MedlinePlus Medical Encyclopedia (2024)

FAQs

White matter of the brain: MedlinePlus Medical Encyclopedia? ›

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.

How serious is white matter in the brain? ›

Older patients with small punctate cerebral vascular white matter lesions are usually asymptomatic, but they progress to large confluent lesions and can present with subtle functional decline, cognitive impairment, dementia, urinary incontinence, gait and balance impairment, and neuropsychiatric disorders.

What is the life expectancy of white matter disease? ›

The life expectancy of a person with white matter disease depends on many factors, including the specific type, the rate at which it progresses, and the complications it causes. Research has suggested a link between white matter disease of an unknown cause and the risk of stroke and dementia.

What are the first signs of white matter disease? ›

Signs and symptoms of white matter disease include:
  • Memory problems.
  • Slow walking.
  • Balance issues and frequent falls.
  • Difficulty performing two or more activities at once, such as walking and talking at the same time.
  • Mood changes, such as depression.
  • Urinary incontinence.

How do you improve white matter in the brain? ›

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.

What is the best diet for white matter disease? ›

Mediterranean diet (MedDiet) has been associated with lower incidence of dementia. Higher MedDiet scores were associated with lower white matter lesion volume.

Is white matter brain disease progressive? ›

Age-related white matter disease is progressive, meaning it can get worse. But you can take steps to stop it from spreading. Scientists think you might even be able to repair the damage, if you catch it early. Keep your blood pressure and blood sugar in check.

Is white matter disease considered terminal? ›

The prognosis of white matter disease varies. MS is not a fatal disease. By managing the MS and co-occurring conditions, life expectancy may be only slightly shorter. Vascular dementia generally is associated with a reduced life expectancy after diagnosis.

Is white matter disease the same as dementia? ›

White matter disorders are often included in the subcortical dementias, alternatively known as frontal-subcortical dementias (Bonelli and Cummings, 2008), but uncertainty lingers about the importance of white matter damage in producing neurobehavioral effects, and demented patients with white matter lesions are ...

Can you recover from white matter damage? ›

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.

Can white matter disease cause personality changes? ›

White matter diseases presenting with psychosis can yield important insights into the neurobiology of psychosis. Less significant evidence has associated white matter lesions, mainly frontal and temporal, with personality changes.

Can anxiety cause white matter disease? ›

Several lines of evidence have reported white matter dysfunction in psychiatric conditions, including depression, stress- and anxiety-related disorders.

Is white matter disease a normal part of aging? ›

Cerebral white matter lesions (WML) are common in the aging brain and are associated with dementia and depression.

Does walking increase white matter? ›

The walking group also had more of a change in their white matter, although both walkers and dancers showed an improvement in this area. It was found that after the six months, parts of their brain had grown larger, and there was a decrease in the tissue lesions, which are a sign of brain damage.

Is white matter in the brain good or bad? ›

While gray matter is a common focus in topics of brain structure, white matter also plays a critical role in helping the body process information. It connects regions that send and receive signals, affecting the ability to focus and learn, solve problems, and stay balanced when walking.

What does it mean when you have white matter on a brain MRI? ›

White matter disease is commonly detected on brain MRI of aging individuals as white matter hyperintensities (WMH), or 'leukoaraiosis.” Over the years it has become increasingly clear that the presence and extent of WMH is a radiographic marker of small cerebral vessel disease and an important predictor of the life- ...

Is white matter disease a form of dementia? ›

White matter disorders are often included in the subcortical dementias, alternatively known as frontal-subcortical dementias (Bonelli and Cummings, 2008), but uncertainty lingers about the importance of white matter damage in producing neurobehavioral effects, and demented patients with white matter lesions are ...

Can white matter lesions go away? ›

Sometimes, a white spot can go away after treatment for a condition like an infection or brain tumor. The spots may also temporarily get smaller and worsen later. This is often the case with chronic inflammatory conditions such as lupus or MS that flare up and then improve.

Can white matter of the brain be a stroke? ›

In prospective studies, small white matter strokes are associated with progressive cognitive decline [11]. The incidence of subcortical white matter stroke increases with age and is expected to increase in prevalence with the aging population [12].

What is the difference between white matter disease and MS? ›

In contrary to MS, SLE white matter lesions more often exhibit a vascular distribution (Jennekens and Kater, 2002). Another distinction from MS is the bilateral involvement of basal ganglia, with swelling and punctuate enhancement.

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