Ischemic cerebral white matter lesions are generally ischemic demyelinating changes in the white matter of the brain. It is generally most obvious in the FLAIR phase of MRI, showing high signal. Most of its etiology is related to cerebral arteriosclerosis and small arterial end-ischemia, and the specific treatment is as follows: 1. Mild cerebral white matter lesions generally do not require special treatment; 2. Severe patients will have symptoms such as dizziness, cognitive impairment, and unstable walking, which can be treated in a targeted manner. Commonly used drugs include nimodipine, edebenone, nimeglumine, and cytarabine capsules, which can improve the blood supply and oxygen supply to the brain and repair the brain nerves; at the same time, patients should be treated for the causes of the disease, and those with hypertension should have their blood pressure controlled below 140 mmHg and 90 mmHg; those with hyperglycemia should take glucose-lowering drugs or use insulin to control the blood sugar level; those with hyperlipidemia should take atorvastatin If you have atherosclerotic plaque, but no hyperlipidemia, you can also selectively use statins to stabilize the plaque.