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État criblé

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

MRI for demential process assessment.

Patient Data

Age: 82-year-old
Gender: Male

MRI Brain (selected images)

mri

Selected T2 sequence images demonstrate diffuse brain volume loss without lobar predominance (best assessed with the sagittal T1), multiple foci of T2/FLAIR hyperintensities scattered through the supratentorial white matter, non-specific, in keeping with chronic small vessel disease, and multiple enlarged perivascular spaces giving the classical appearance described as "état criblé". 

Case Discussion

État criblé is a term that describes the diffusely widened perivascular spaces (Virchow-Robin spaces).   

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