A member asked:

Brain mri with white matters and 4 black holes findings. are back holes alway a sign of ms? or not necessarily. i have no symptoms of ms.

2 doctors weighed in across 2 answers

Black holes: Black holes are not always a sign of multiple sclerosis, but can be seen in various diagnoses such as normal aging, migraine, transient ischemia, and a few others. Hope this helps.

Answered 7/20/2013

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We term this: Radiologically isolated syndrome, and sorry, but many of these mri's foretell future diagnosis of clinically definite ms. Suggest you go further, get films of cervical spinal cord, and maybe lumbar puncture. Would strongly urge a consult with a neurologist who specializes in ms, as the proper management is rather complex these days. Best of luck.

Answered 10/20/2016

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