Dergi Ara >>
Yıl:2001; Cilt: 1; Sayı: 3>> Özet
Demans Dergisi; 2001;1(3):74-78
Lökoaraiozis ve Demans
A Özeren
Çukurova Üniversitesi Tıp Fakültesi Nöroloji ABD, Adana
Lökoaraiozis (LA), beyaz cevherde diffüz ya da
bölgesel olarak görülen, sıklıkla simetrik, sınırları
çoğunlukla iyi belirlenmemiş, periventriküler
beyaz cevherde, özellikle lateral ventrikül boynuzlarına
komşu bölgelerde ve sentrum semiovaledeki
düşük dansiteli alanlardır. Kavramsal
olarak klinik değil, tersine sadece radyolojik bir
görünümü ifade eder. BBT (bilgisayarlı beyin
tomografisi) ve MRG'nin (manyetik rezonans
görüntüleme) pratik kullanıma yaygın olarak
girmesiyle kolayca tanınabilmeye başlamıştır. İyi
sınırlı olmayışı, sadece beyaz cevhere sınırlı kalışı,
kortikal uzantısının bulunmaması ve ventriküller ve
sulkuslarda genişlemeye yol açmaması gibi özellikleri
ile infarktlardan ayırt edilebilir.
LA terimi yerine
literatürde 'lökoensefalopati', 'subkortikal
iskemik lökoensefalopati', 'lökomalasi', 'periventriküler
beyaz cevher hipodansitesi' ve 'periventriküler
lucency' gibi terimler de kullanılmaktadır.

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