| Article Access Statistics | | | Viewed | 6716 | | | Printed | 129 | | | Emailed | 3 | | | PDF Downloaded | 71 | | | Comments | [Add] | | | Cited by others | 4 | | |
|
Click on image for details.
|
|
 |
| NEUROIMAGE |
|
|
|
| Year : 2012 | Volume
: 60
| Issue : 1 | Page : 136-137 |
Dilated Virchow Robin spaces mimicking cystic neoplasm of cingulated gyrus
Sukhdeep S Jhawar1, Sarvpreet S Garewal1, Priyanshu Bhargava1, Pramod P Nittala2
1 Department of Neurosurgery, Christian Medical College and Hospital, Ludhiana, Punjab, India
2 Department of Radiodiagnosis, Christian Medical College and Hospital, Ludhiana, Punjab, India, India
| Date of Web Publication | 7-Mar-2012 |
Correspondence Address:
Sukhdeep S Jhawar
Department of Neurosurgery, Christian Medical College and Hospital, Ludhiana, Punjab - 141008
India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0028-3886.93595
How to cite this article:
Jhawar SS, Garewal SS, Bhargava P, Nittala PP. Dilated Virchow Robin spaces mimicking cystic neoplasm of cingulated gyrus. Neurol India 2012;60:136-7 |
A 45-year-old male presented with history of severe headache since two months. He was investigated and brain magnetic resonance imaging (MRI) showed a multiloculated cystic lesion involving left cingulated gyrus [Figure 1] and [Figure 2]. Lesion was well-defined and extending up to the corpus callosum [Figure 3]. The lesion showed no calcifications, hemorrhage, enhancement or perilesional edema. Diffusion-weighted images showed no restricted diffusion. Considering the atypical location and appearance on MRI, a histopathological correlation was planned. Patient underwent neuroendoscopic interhemisperic biopsy of cyst wall. The cystic areas were histologically confirmed to be enlarged perivascular spaces. | Figure 1: Axial T1-weighted magnetic resonance image showing a well-defined multiloculated cystic lesion in the left cerebral hemisphere. There is no perilesional edema seen. No solid component is noted within this lesion
Click here to view |
 | Figure 2: Coronal T2-weighted image shows the multiloculated cystic lesion in the left cingulated gyrus
Click here to view |
 | Figure 3: Sagittal T2-weighted image showing the cystic lesion involving the cingulate gyrus with indentation of the body of the corpus callosum
Click here to view |
Virchow-Robin (VR) spaces surround the walls of vessels as they course from the subarachnoid space through the brain parenchyma. Dilated VR spaces typically occur in three characteristic locations: Type I VR spaces found along the lenticulostriate arteries entering the basal ganglia; Type II VR spaces found along the paths of perforating medullary arteries as they enter the cortical gray matter over the high convexities; and Type III VR spaces in the midbrain. Occasionally, VR spaces appear markedly enlarged, cause mass effect, and assume bizarre cystic configurations. [1] Knowledge of the signal intensity characteristics and locations of VR spaces helps differentiate them from various pathologic conditions, including cystic tumors, parasitic cysts, cystic infarctions, non-neoplastic neuroepithelial cysts, cystic periventricular leukomalacia, multiple sclerosis, mucopolysaccharidoses, and arachnoid cysts. [1] Rarely, as seen in the present patient, they can also occur at an atypical location causing diagnostic confusion. In such cases, neuroendoscopic biopsy offers a safe effective treatment option. [2]
| » References | |  |
| 1. | Kwee RM, Kwee TC. Virchow-Robin spaces at MR imaging. Radiographics 2007;27:1071-86. 
[PUBMED] [FULLTEXT] |
| 2. | Rohlfs J, Riegel T, Khalil M, Iwinska-Zelder J, Mennel HD, Bertalanffy H, et al. Enlarged perivascular spaces mimicking multicystic brain tumors. Report of two cases and review of the literature. J Neurosurg 2005;102:1142-6.
[PUBMED] [FULLTEXT] |
[Figure 1], [Figure 2], [Figure 3]
| This article has been cited by | | 1 |
Extensive widening of Virchow-Robin spaces in the frontal lobe: two case reports and systematic review of the literature |
|
| Mustafa Kemal Demir, Önder Ertem, Naz Ece Kundak, Tufan Ay, Turker Kilic | | Acta Neurologica Belgica. 2022; | | [Pubmed] | [DOI] | | | 2 |
Atypical Virchow-Robin Spaces Mimicking Cystic Primary Brain Tumor – Clinical Report and Literature Review |
|
| Helder Picarelli, Thales Bhering Nepomuceno, Yuri Casal, Vitor Nagai Yamaki, Manoel Jacobsen Teixeira, Eberval Gadelha Figueiredo | | Arquivos Brasileiros de Neurocirurgia: Brazilian Neurosurgery. 2020; 39(04): 311 | | [Pubmed] | [DOI] | | | 3 |
Ghost Tumors of the Central Nervous System: Definition, Clinical Implications, and Proposal of Classification |
|
| Paolo Frassanito,Gianpiero Tamburrini,Luca Massimi,Massimo Caldarelli,Concezio Di Rocco | | World Neurosurgery. 2015; 84(3): 663 | | [Pubmed] | [DOI] | | | 4 |
Acute decompensation of noncommunicating hydrocephalus caused by dilated virchow-robin spaces type III in a woman treated by endoscopic third ventriculostomy: A case report and review of the literature |
|
| Ottenhausen, M., Meier, U., Tittel, A., Lemcke, J. | | Journal of Neurological Surgery, Part A: Central European Neurosurgery. 2013; 74(1): e242-e247 | | [Pubmed] | |
|
|
|
|
|
|
|
|
