Enlarged perivascular spaces mimicking multicystic brain tumors
Autor: | Joanna Iwinska-Zelder, Munzir Khalil, Thomas Riegel, H.D. Mennel, Helmut Bertalanffy, Dieter Hellwig, Jochen Rohlfs |
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Rok vydání: | 2005 |
Předmět: |
Male
Pathology medicine.medical_specialty Obstructive hydrocephalus Basal Ganglia Neurosurgical Procedures Diagnosis Differential Central nervous system disease Cystic lesion Thalamus Parenchyma medicine Humans Perivascular space medicine.diagnostic_test Brain Neoplasms Neuroendoscopes business.industry Magnetic resonance imaging Middle Aged medicine.disease Magnetic Resonance Imaging Hydrocephalus Cerebrovascular Disorders Neuroendoscopy medicine.anatomical_structure business |
Zdroj: | Journal of Neurosurgery. 102:1142-1146 |
ISSN: | 0022-3085 |
DOI: | 10.3171/jns.2005.102.6.1142 |
Popis: | ✓ The authors present two cases in which enlarged Virchow—Robin spaces were located in the basal ganglia and the thalamomesencephalic region. The incidence of such huge cystic lesions is extremely rare. The expanding nature of these lesions, demonstrated by the patients' progressive symptoms due to compression of the adjacent brain parenchyma and obstructive hydrocephalus, mimicked that of brain tumors. The two patients were successfully treated by neuroendoscopic cystocisternostomy or ventriculocystostomy. To the authors' knowledge there have been only two published reports on expanding Virchow—Robin spaces that produced a compressive effect or consequent hydrocephalus and were directly fenestrated using neuroendoscopic techniques. Neuroendoscopy appears to offer an effective surgical option in the treatment of symptomatic Virchow—Robin spaces. |
Databáze: | OpenAIRE |
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