Hi, welcome to our site. I am Dr Saumya Mittal, MD. Read your query. That is a very significant question and i appreciate your problem. I will try my best to answer your query I would not consider the possibility of multiple sclerosis just yet. White matter plaques may be due to a lot of other conditions besides white matter lesions in MS have a finger like morphology. AND the symptoms vary. MS usually does not present as headache. The usual presentation is that of a sensory loss. I would also not label it as alzheimers disease. Not without a formal memory testing schedule at least. Lots of people have difficulty in remembering the recent things. many people are bad at remembering names. many forget in midactivity what they had set out to do in the first place. this does not mean they have Alzheimers disease. I will need further details about your headache. It wll e difficult to comment in it without the further details like 1. how long does the headache last 2. what are the triggers for headache 3. what relieves the headache 4. how long does the headache last 5. what are the other associated smymptoms 6. any nausea/vomitting 7. any photophobia/phonophobia? I hope this helps you. Inform the reports mentioned above/if any other so I can be of help further. I have given you the answer to the maximum considering the information provided. The results of the tests could further enhance my answer to you. Please do understand that some details could be extracted from a detailed history and examination. Please feel free to ask another query. I would be glad to help you. Looking forward to your return query with the details asked so that I can help you further. (If the answer has helped you, please indicate this) Best of luck. Dr Mittal. MBBS, MD (Internal Medicine), CC (Diabetes Mellitus), DNB (Neurology) Consultant Physician and Diabetologist JS Hospital Ex Apollo Hospital, Delhi Ex Kailash Hospital, Noida