The fazekas grade 2 generally does not require treatment. The fazekas grade is an imaging standard for grading white matter lesions in the brain. The fazekas scale is scored from 0 to 6, and is graded by scoring the paraventricular, deep white matter. fazekas grade 1 refers to speckled cerebral white matter lesions, fazekas grade 2 refers to plaque-like cerebral white matter lesions, and fazekas grade 3 refers to patchy cerebral white matter lesions. fazekas grade 2 should actively control the original disease and risk factors, such as controlling diet, lowering blood lipids, controlling blood pressure, do not smoke and drink, etc. fazekas grade 2 cerebral leukoencephalopathy may belong to the ischemic cerebral leukoencephalopathy and the degree of the lesion is relatively mild. If the patient has the willingness to treat, he can take oral atorvastatin, nimodipine and other drugs under the guidance of the doctor for treatment. Therefore, patients with cerebral white matter lesions should go to the hospital as soon as possible and decide the next step of treatment plan according to their condition under the guidance of the doctor.