Hello everyone,

My wife's MRI has shown a small white spot on the right side, she's 25 years old, female.

She has had migraines all her life, at least once a week - other than that shows no other symptons whatsoever.

Does anyone have any idea what this spot might mean? I'm thinking either a congenital anomaly or a white matter lesion due to the migraines, both would not mean any greater risk.

We have seen two neurologists so far, both seemed really inexperienced and they couldn't really tell us what it is. We're seeking someone more experienced now to try and get another opinion.

If anyone have any experience with similar MRI images/cases or any opinions, I'd be grateful.

Thinking of you both
And am praying all be well
Me

Hello Oswiu and welcome to NeuroTalk.

Migraines can and do cause lesions. Lesions can also be congenital, due to an infection or injury.

That's actually a good thing If another opinion is needed for the both of you to have peace of mind then by all means, get another opinion. If that opinion isn't any different than what you have already heard it's very possible that lesion doesn't have any serious significance.

Best wishes to the both of you

I don't think you have anything to worry about. In fact even if it did turn out to be MS, as she is currently symptomless and has only one lesion, she wouldn't fit the diagnostic criteria for the condition anyway so it wouldn't be diagnosed and certainly no treatment would be offered.

The lesions, the particular places they form in the brain and spinal cord, their size and their shape are totally different in MS compared to vascular lesions (such as migraine lesions) and other conditions which produce similar white lesions.

White brain lesions are also totally normal in the brain. They tend to increase in number as we age. This lesion may be absolutely nothing more than your wife's age.

I think you both should stop worrying and crack on with living.