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White matter is the tissue through which messages pass between different areas of grey matter within the central nervous system. The white matter is white because of the fatty substance (myelin) that surrounds the nerve fibers (axons). This myelin is found in almost all long nerve fibers, and acts as an electrical insulation.
The gray matter remains normal in all characteristics while the white matter changes texture, becoming soft and gelatinous. Rarefaction of the white matter is seen through light microscopy and the small number of axons and U-fibers that were affected can also be seen. Numerous small cavities in the white matter are also apparent.
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Head CT showing periventricular white matter lesions. Leukoaraiosis is a particular abnormal change in appearance of white matter near the lateral ventricles. It is often seen in aged individuals, but sometimes in young adults. [1] [2] On MRI, leukoaraiosis changes appear as white matter hyperintensities (WMHs) in T2 FLAIR images.
White matter fibre dissection is nowadays considered as a valuable tool to enhance our knowledge about brain connectivity, [5] [9] [10] [1] and has been used to validate tractographic results and vice versa with good consistency between the two techniques, [11] but also for neurosurgical training and neuroanatomical teaching.
For example, deep white matter hyperintensities are 2.5 to 3 times more likely to occur in bipolar disorder and major depressive disorder than control subjects. [ 3 ] [ 4 ] WMH volume, calculated as a potential diagnostic measure, has been shown to correlate to certain cognitive factors. [ 5 ]
Grey matter is distinguished from white matter in that it contains numerous cell bodies and relatively few myelinated axons, while white matter contains relatively few cell bodies and is composed chiefly of long-range myelinated axons. [1] The colour difference arises mainly from the whiteness of myelin. In living tissue, grey matter actually ...
In the example shown here, the gradient echo image shows the region of likely cytotoxic edema whereas the SW image shows the likely localization of the stroke and the vascular territory affected (data acquired at 1.5 T). The bright region in the gradient echo weighted image shows the area affected in this acute stroke example.