The severity of bilateral radial crown demyelination changes is related to the extent of the lesions, but either requires attention. Bilateral radial coronal demyelination refers to patients who show patchy demyelination-like pathological changes in the radial corners of the cerebral hemispheres during an MRI examination of the head. It often occurs in the elderly, who have atherosclerosis of the cerebral arteries themselves, and gradually progresses to become striated demyelination-like changes. If the area of demyelination changes is small and does not affect the functional area, the patient has no obvious clinical symptoms, but with age, there may be a gradual decline in intelligence, memory loss, etc., and in severe cases, it may lead to motor sensory dysfunction and limb weakness. Therefore, once discovered, all need to pay attention. For bilateral radial crown demyelinating changes, it is recommended to consult the Department of Neurology in regular hospitals.