My MS affects my brain – cognition issues have been challenging for me ever since my diagnosis nearly 13 years ago. About 6 years ago, my neurologist informed me that my latest MRI scan showed one large lesion had now become a “black hole”…and, it is just like it sounds. A black hole is permanent – a dark, lifeless area of the brain beyond repair. Fear is early onset dementia. Hopes are to keep other possible lesions away from this spot and to limit or exclude lesion activity altogether. I keep my brain as busy as I have the energy to muster. I write, play and listen to music. I do newspaper crossword puzzles and read articles/blogs/books – I try most anything to expose my brain to new information…when energy allows. “Black Hole” will be understood by many others with MS.