Dilatation of Virchow-Robin Perivascular Spaces: Report of 3 Cases with Different Localizations

Abstract

We report on three different cases with Virchow-Robin spaces, including one with extreme widening causing hydrocephalus. In one patient we have performed neuroendoscopic cyst fenestration to resolve the problem.

Key words

Virchow-Robin space - cerebral lesions - hydrocephalus - endoscopic surgery

References

• 1 Elster AD, Richardson DN. Focal high signal on MR scans of the midbrain caused by enlarged perivascular spaces. MR-pathologic correlation.  AJR Am J Roentgenol. 1991;  156 157-160
• 2 Heier LA, Bauer CJ, Schwartz L, Zimmerman RD, Morgello S, Deck MD. Large Virchow-Robin spaces: MR-clinical correlation.  AJNR. 1989;  10 929-936
• 3 Kanamalla US, Calabro US, Jinkins JR. Cavernous dilatation of mesencephalic Virchow-Robin spaces with obstructive hydrocephalus.  Neuroradiology. 2000;  42 881-884
• 4 Ogawa T, Okudera T, Fukazawa H, Hashimato M, Inugami A, Fujita H. Unusual widening of Virchow-Robin spaces: MR appearance.  AJNR. 1995;  16 1238-1242
• 5 Awad IA, Johnson PC, Spetzler RF, Hodak JA. Incidental subcortical lesions identified on magnetic resonance imaging in the elderly II: postmortem pathological correlations.  Stroke. 1986;  17 1090-1097
• 6 Jungreis CA, Kanal E, Hirsch WL, Martinez AJ, Moossy J. Normal perivascular spaces mimicking lacunar infarction: MR imaging.  Radiology. 1988;  169 101-104
• 7 Braffman BH, Zimmerman RA, Trojanowski JQ, Gonatas NK, Hickey WF, Schlaepfer WW. Brain MR: pathologic correlation with gross and histopathology. 1. Lacunar infarction and Virchow-Robin spaces.  AJR Am J Roentgenol. 1988;  151 551-558
• 8 Eichhorn GR, Ammache Z, Bell W, Yuh WT. Unusually prominent perivascular spaces.  Neurology. 2001;  56 1242
• 9 Adachi M, Hosoya T, Haku T, Yamaguchi K. Dilated Virchow-Robin spaces: MRI pathological study.  Neuroradiology. 1998;  40 27-31
• 10 Longatti PL, Fiorindi A, Carteri A, Caroli F, Martinuzzi A. Expanding cerebral cysts (lacunae): a treatable cause of progressive midbrain syndrome.  J Neurol Neurosurg Psychiatry. 2003;  74 393-394
• 11 Mascalchi M, Salvi F, Godano U, Nistri M, Taiuti R, Tosetti M. Expanding lacunae causing triventricular hydrocephalus. Report of two cases.  J Neurosurg. 1999;  91 669-674
• 12 Schroeder HW, Gaab MR, Warzok RW. Endoscopic treatment of an unusual multicystic lesion of the brainstem: case report.  Br J Neurosurg. 1996;  10 193-196
• 13 Rohlfs J, Riegel T, Khalil M, Iwinska-Zelder J, Mennel HD, Bertalanffy H, Hellwig D. Enlarged perivascular spaces mimicking multicystic brain tumors. Report of two cases and review fo the literature.  J Neurosurg. 2005;  102 1142-1146
• 14 Artigas J, Poo P, Rovira A, Cardo E. Macrocephaly and dilated Virchow-Robin spaces in childhood.  Pediatr Radiol. 1999;  29 188-190
• 15 Derouesné C, Gray F, Escourolle R, Castaigne P. Expanding cerebral lacunae in a hypertensive patient with normal pressure hydrocephalus.  Neuropathol Appl Neurobiol. 1987;  13 309-320
• 16 Homeyer P, Cornu P, Lacomblez L. A special form of cerebral lacunae: expanding lacunae.  J Neurol Neurosurg Psychiatry. 1996;  61 200-202

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