Hello,
Thank you for asking your query.
The MRI result has to be analysed in correlation to your signs, symptoms and clinical features. That's means MRI is not the final word in anything. What you have is peri ventricular white matter changes. This is a rather common finding in the MRI. And this can be due to a lot of reasons. It's sometimes a wear and tear; phenomenon. Like small strokes, aging, multiple sclerosis, Lyme's disease, Migraine, Vitamin deficiency (Pyridoxine). Your Doctor will correlate with your disease symptoms and signs and come to conclusion. In your case this could be just natural changes due to the seizure activity. Since you have migraine that could have contributed to it. So you need to worry about other conditions which are mentioned in the MRI. In other words the ‘periventricular white matter’ are non-specific.
I recommend you to follow your Doctors suggestions. You can also take a Vitamin supplement in addition to it.
Hope this helps.
Thank you