Tehran University of Medical Sciences Archives of Anesthesiology and Critical Care 2423-5849 7 1 2021 02 13 56 57 Tripta Kumari Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, India. Varnitha Siddaramu Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, India. Bhavna Gupta Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, India. Anup Patil Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, India. Jharana Mohonta Department of Anesthesia, All India Institute of Medical Sciences, Rishikesh, India. 2020 06 30 2020 07 20 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. https://aacc.tums.ac.ir/index.php/aacc/article/view/295 https://aacc.tums.ac.ir/index.php/aacc/article/download/295/501