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Enlarged perivascular spaces - corpus callosum

Case contributed by Bruno Di Muzio
Diagnosis almost certain

Presentation

MRI performed for aneurysm follow-up.

Patient Data

Age: 40-year-old
Gender: Female

Selected images demonstrating prominent perivascular spaces, especially on the left and involving the left aspect of the body of the corpus callosum. The remainder brain is unremarkable. 

Case Discussion

 

Perivascular spaces, also known as Virchow-Robin spaces, are pial lined interstitial fluid-filled spaces that surround perforating vessels. Contrary to what was spotted in this case, the involvement tends to be symmetrical. Besides the small circle of Willis aneurysm (not shown), the patient does not have any other neurologic condition. 

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