Giant Virchow-Robin spaces

Case contributed by Dr Ahmed Abdrabou

Presentation

History of recent head trauma and found incidental finding on CT.

Patient Data

Age: 28 years
Gender: Male
CT

Right frontal cortical and subcortical hypodense lesion with associated focal thinning of the frontal bone suggesting long standing lesion. 

MRI

Right frontal subcortical multicystic area that displays CSF signal intensity in all pulse sequences with no significant mass effect, diffusion restriction or post contrast enhancement. 

Case Discussion

Dilated perivascular spaces are usually incidentally discovered. In most cases they are small and cyst-like yet in few cases they enlarge, acquire bizarre shape and mistaken for tumors. Sometimes they may cause mass effect. Here is a nice example of giant type II perivascular spaces. 

The differential diagnosis includes:

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Case information

rID: 65574
Published: 18th Jan 2019
Last edited: 19th Jan 2019
Inclusion in quiz mode: Included
Institution: Ain Shams University

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