Conclusion The cerebral white matter changes in migraine cases on MRI can be a new special type or early stage change of Cerebral Autosomal Dominant Arteriopathy with Subcortical Infarcts and Leukoencephalopathy ( CADASIL). 结论偏头痛患者MRI出现脑白质变性可能是偏头痛的一种新的特殊类型或者是伴有皮质下脑梗死或白质脑病的常染色体显性遗传性脑动脉病的早期改变。