White Brain Matter Disease - Treatment Options and Clinical Trials

Posted by zoetise @zoetise, Aug 10, 2021

Are there any treatments available other than keeping BP and Cholesterol under control? Are there any trials underway

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@cclaus

In May of this year my husband lost sight in his left eye. He saw an eye doctor who immediately admitted him for MRI's and other test. The Neuro-ophthalmologist and MRI detected a swollen optic nerve. It was treated with steroids' and antibiotics. They did a spinal tap also.
After 5 days in the hospital there was only the diagnosis of the swollen optic nerve. No known reason for this.
The MRI also reveals what they call "White Matter Disease." We don't understand this other than it means a mass on the brain in spots.
Recently he now has double vision and the left eye does not move to look in the left direction. Another MRI shows the white matter has increased somewhat.
I don't know what to expect next. He also has weakness in the legs, balance issues and hearing loss. All of his medical conditions are controlled with medication.
Does anyone have experience with White Matter Disease?

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@cclaus Clearly something medical is going on with your husband . I understand why you are scared and want to understand what "white matter disease" means. This isn't really a diagnosis, per se, but rather a description of changes that are happening in the brain.

Does he have another condition or diagnosis that he is taking medication for? Has your husband been diagnosed with multiple sclerosis (MS)? You mention legs, balance issues and hearing loss. Does he have weakness in his legs? Or numbness? These could be a problem with the nervous system (central nervous system or peripheral nervous system).

White matter disease refers to what appears as as white or light in the brain. As @ldrlaw explained, white matter is the myelin sheath that covers axons (nerves) that send signals from brain cells (neurons) to other brain cells and myelin helps to conduct nerve impulses. Here is a good description from Cleveland Clinic.

White Matter Disease

-- https://my.clevelandclinic.org/health/diseases/23018-white-matter-disease

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@ldrlaw

My husband was diagnosed with White Brain Disease over a year ago at the Cleo Roberts Center outside of Phoenix, AZ. I had become concerned way back in 2012 and made the appointment for him there. IF this is the same thing you're dealing with, my understanding is that it has to do with deterioration of the myelin sheath in the brain. Per Cleveland Clinic, the myelin sheath is a protective membrane that wraps around part of certain nerve cells. Myelin affects how fast signals travel through those nerve cells. It's called White Brain Disease as it shows up white on scans. It can go on for decades and in my husband's case affects executive functions but if you met him you wouldn't realize he had a problem. I had worked with seniors my entire life and owned a group home - never heard this term before he was diagnosed.

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Isn't this MS?

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@cclaus

In May of this year my husband lost sight in his left eye. He saw an eye doctor who immediately admitted him for MRI's and other test. The Neuro-ophthalmologist and MRI detected a swollen optic nerve. It was treated with steroids' and antibiotics. They did a spinal tap also.
After 5 days in the hospital there was only the diagnosis of the swollen optic nerve. No known reason for this.
The MRI also reveals what they call "White Matter Disease." We don't understand this other than it means a mass on the brain in spots.
Recently he now has double vision and the left eye does not move to look in the left direction. Another MRI shows the white matter has increased somewhat.
I don't know what to expect next. He also has weakness in the legs, balance issues and hearing loss. All of his medical conditions are controlled with medication.
Does anyone have experience with White Matter Disease?

Jump to this post

Thank you for the responses. The Cleveland Clinic article was a good one. He does have other conditions but are well controlled and have been with medications. High Blood pressure and cholesterol medications. His blood pressure is consistently low, like 110/68. His medication for cholesterol is a minimal dose. He is borderline with the sugar/diabetes. He does have problems with circulation in the legs from the knee down. I put a pressure pump on his legs daily. I think they said his lymph nodes don't work well in his legs. He has been scanned a few times for blood clots and nothing is revealed there.
I guess our next step is neurology or cardiovascular. I do appreciate the discussions.

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In reply to @stretching "Isn't this MS?" + (show)
@stretching

Isn't this MS?

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MS was never mentioned. If I recall correctly, they said that we all get some of this, but his showed more than would be expected at his age.

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@ldrlaw

MS was never mentioned. If I recall correctly, they said that we all get some of this, but his showed more than would be expected at his age.

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How old is your husband? Mine is 79

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@cclaus

In May of this year my husband lost sight in his left eye. He saw an eye doctor who immediately admitted him for MRI's and other test. The Neuro-ophthalmologist and MRI detected a swollen optic nerve. It was treated with steroids' and antibiotics. They did a spinal tap also.
After 5 days in the hospital there was only the diagnosis of the swollen optic nerve. No known reason for this.
The MRI also reveals what they call "White Matter Disease." We don't understand this other than it means a mass on the brain in spots.
Recently he now has double vision and the left eye does not move to look in the left direction. Another MRI shows the white matter has increased somewhat.
I don't know what to expect next. He also has weakness in the legs, balance issues and hearing loss. All of his medical conditions are controlled with medication.
Does anyone have experience with White Matter Disease?

Jump to this post

Hello @cclaus and welcome to Mayo Clinic Connect. Hearing this diagnosis has to be concerning and, no doubt, comes with a lot of questions. I am glad you have reached out for support here.

You will notice that I have moved your post into an existing discussion on the same condition so that you can more easily connect with others in the community. You can now find your post here:
- White Brain Matter Disease - Treatment Options and Clinical Trials: https://connect.mayoclinic.org/discussion/white-brain-matter-disease/

I see members such as @ldrlaw and @naturegirl5 have joined you already. I'd also like to call in members @narus and @awilst who have experience with this condition.

Are you scheduled for a follow up with Neurology and/or Cardiovascular like you had mentioned?

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@amandajro

Hello @cclaus and welcome to Mayo Clinic Connect. Hearing this diagnosis has to be concerning and, no doubt, comes with a lot of questions. I am glad you have reached out for support here.

You will notice that I have moved your post into an existing discussion on the same condition so that you can more easily connect with others in the community. You can now find your post here:
- White Brain Matter Disease - Treatment Options and Clinical Trials: https://connect.mayoclinic.org/discussion/white-brain-matter-disease/

I see members such as @ldrlaw and @naturegirl5 have joined you already. I'd also like to call in members @narus and @awilst who have experience with this condition.

Are you scheduled for a follow up with Neurology and/or Cardiovascular like you had mentioned?

Jump to this post

I am suing my hospital (RRMC) and my urologist and am just in the processed switching to Darthmouth Hitchcock. My thought process is fine but my memory sucks.

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@zoetise

Would like to become a participant.

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I too would like to be a participant.

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May I be a participant?

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