Perivascular spaces and cortical dysplasia

Case contributed by A.Prof Frank Gaillard

Presentation

Seizures.

Patient Data

Age: 25
Gender: Male

The multicystic elongated lesion centered in the left cingulate gyrus, with small cystic components involving the adjacent corpus callosum and frontal lobe is once again noted. There is no evidence of abnormal enhancement.

Cortical thickening and subcortical T2 signal abnormality is seen involving the right inferior frontal gyrus. There is some linear tapering towards the ventricular surface. There is no abnormal spectroscopy in this region. Normal spectroscopy. No evidence of enhancement.

Conclusion:

1. The multicystic left cingulate region is favored to represent a giant peri-vascular space.

2. The lesion in the right inferior frontal gyrus is favored to represent a cortical dysplasia, possibly Taylor's type. Unfortunately, a low-grade glial series tumor cannot be totally excluded.

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Case information

rID: 30131
Published: 25th Jul 2014
Last edited: 16th Jul 2018
Inclusion in quiz mode: Included

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