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White spots on brain following accident

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my son was hit by a drunk driver head on, after months of asking he finally had an mri which showed white spots on brain, is this a result of accident? his doctor is on vacation and my son is very worried that he has MS or disease, he had no other nuerologiccal problems previous. i told him i thought was damage spots on brain. Possible?


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replied July 12th, 2010
Brain and Head Injuries Answer A14167
Hi, welcome to the ehealth forum and I am glad to help you.
Without examining your son, taking detailed history, and reviewing the MRI, I cannot make a diagnosis. The white spots in the brain might indicate areas which have been damaged. If the MRI was not done with contrast, it may be helpful. The visual evoked potential is another method to detect damage to the white matter of the brain. Another test which may need to be performed is a spinal tap with analysis of the fluid. This test can look for signs of inflammation and abnormal anti-body production (suggestive of MS). Other disorders to consider include lyme and sarcoid. In addition your B12, markers of systemic inflammation (sedimentation rate), and a marker for connective tissue disease (such as an ANA) may need to be tested.
Although it is difficult to comment without looking at the MRI scan, white matter lesions (WMLs) are seen in migraine, ischemia, demyelinating disease such as multiple sclerosis, infections, Alzheimer’s disease, periventricular leukomalacia and leukodystrophies and other neurodegenerative diseases and vasculitis etc.
MRI as an investigative modality, which is used in correlation with the clinical signs and symptoms, as an ideal tool for early diagnosis and management of several white matter diseases of brain and spinal cord. Some changes in white matter are seen in migraine patients (especially in migraine with aura). They may also be present in asymptomatic patients.
It is not clear from your description, whether you have any additional symptoms or not. Hence, I would advise that you to consult a neurologist for further evaluation and to rule out causes of such lesions and the presence of any vascular risk factors.
Take care. Hope this helps.
Note: This post is not to emphasise final diagnosis as the same cannot be made online and is aimed just to provide medical information and no treatment suggested above be taken without face to face consultation with health care professional.



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