A Anaesthetic Considerations in an Incidental Finding of Leukoariosis

Leukariosis is an incidental MRI finding which appears as white matter hyperintensities (WMHs) or diffuse white matter changes and is related to small vessel disease. Patients having severe WM disease are more susceptible to intraoperative hypoperfusion, metabolic disturbance, microemboli, any medication effect, and postoperative hemodynamic perturbations. The effect of anaesthesia in patients with leukoariosis is not commonly known and there is paucity of reported literature.