Q. I have nerve pain all over my body and my MRI showed two white spots on brain. Kindly help.

Answered by
Dr. Ismail Kabakus
and medically reviewed by Dr. Vinodhini. J
This is a premium question & answer published on Jan 25, 2021

Hello doctor,

My MRI scan shows two white spots on the brain. Radiologist report was sent to the neurologist. Please review.

I presented with nerve pain all over my body about two years ago. That was chronic but largely in the background and not noticeable. Six months ago, I developed pain in my shoulder, which the doctor attributed to a pulled muscle. After one or two months, I developed tight neck muscles, especially my sternomastoid muscle. I became very anxious about this. I stopped sleeping, and my nerve issues became worse to the point where I began to experience fascinations and formications around my body. This subsided once I slept properly, and I was left again with the typical nerve pain I was familiar with. This pain is barely noticeable. Doctors attributed my stiff neck and painful shoulder to bad posture. My neck and back muscles are also extremely tense, and I have large muscle knots on my upper and lower traps. It is important to note that stiffness is large on the right side of the body. Recently, my stiffness got worse again, and my fasciculations and formication returned. I slept, and they felt better, although I sometimes feel the fasciculations. I decided to see a neurologist. Blood work was performed, and everything returned negative except for slightly elevated white blood cell count.



Welcome to

The uploaded images are flair images, which are very sensitive to brain lesions (attachment removed to protect patient identity).

Those white spots you pointed are called white matter hyper-intensities. White matter hyperintensities or lesions are frequently seen in healthy elderly people. It is accepted to be normal to have one white spot every ten years. Their prevalence increases with age from approximately 10% to 20% in those approximately 60 years old to close to 100% in those older than 90 years.

They are more common in individuals with a history of cognitive impairment, dementia, or cerebrovascular disease. Aging and hypertension are the main predictors. Other risk factors include diabetes, hypercholesterolemia, smoking, carotid artery disease, atrial fibrillation, and heart failure.

To sum it up, those lesions are usually innocent and commonly seen in healthy individuals. They may increase in time, especially with the known diagnosis of diabetes.

I hope this helps.

The Probable causes:

Age, diabetes.

Thank you doctor,

I am worried that I am only 30 years old and I thought they are unusual for my age. I was worried that these lesions are indications of MS.



Welcome back to

Looking at their shape and location, it is unlikely for them to represent MS. I would recommend you upload the whole MRI (magnetic resonance imaging) to see the whole picture and make further comments.

Was this answer helpful?


Same symptoms doesn’t mean you have the same problem. Consult a doctor now!

Related Questions:
Kindly explain whether MRI brain and CSF studies show any relation to NPH.

.. findings in the report and the images are matching and acceptable (attachment removed to protect patient identity). The term NPH is usually applied in cases where there is abnormal CSF hyperdynamic circulation with gait problems or without gait pr...   Read full

What does the MRI brain taken for balancing issues indicate?

.. carefully your MRI report (attachment removed to protect patient identity) and would explain that it indicates small repeated strokes due to small vessel disease of the brain. For this reason, it is important for taking daily Aspirin 100 mg or 80 ...   Read full

Is my shoulder pain a disc problem or nerve pain?

.. in your small finger is related to a pinched nerve in the elbow, probably related to a wrong position during sleeping. It is not related to the bulging disc in the lumbar vertebral column. I would just recommend performing a nerve conduction study...   Read full

Also Read Answers From:

ideaComprehensive Medical Second Opinion.Submit your Case

Also Read

Alzheimer's Disease - an Overview
Alzheimer's is a neurodegenerative condition that can seriously hamper one's day to day activities and quality of life. ...  Read more»
My father is experiencing hospital delirium after ankle surgery. Please help.
Hi doctor, I am concerned about drug interaction for my father. He is experiencing hospital delirium after surgery. My ...  Read more»
Is there a chance for dengue reattack in the same season?
Hi doctor, I was diagnosed with dengue towards the end of last month. I was hospitalized for five days. I went through...  Read more»

Ask your health query to a doctor online?

Ask a Radiologist Now

* guaranteed answer within 4 hours.

Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.