Prominent perivascular spaces

Case contributed by Dr Aneta Kecler-Pietrzyk


Presented with long standing headache.

Patient Data

Age: 45 years
Gender: Female


A T2 hyperintense/ T1 hypointense cystic, non enhancing clustered multiple foci in the white matter of the right parietal, occipital and temporal lobes consistent with enlarged perivascular spaces. No associated mass effect. No midline shift or downward herniation. No restricted diffusion. 

Small burden of FLAIR periventricular and white matter hyperintensities most likely secondary to early microvascular disease. 

Normal intracranial flow voids. 

Case Discussion

Excellent example of prominent perivascular spaces type II. 

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Case information

rID: 73393
Published: 9th Jan 2020
Last edited: 11th Jan 2020
Inclusion in quiz mode: Included

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