Surgical considerations regarding giant dilations of the perivascular spaces.

Abstract:

OBJECT:Dilations of brain perivascular spaces (PVSs), also known as Virchow-Robin spaces, are routinely identified on magnetic resonance imaging studies of the brain and recognized as benign normal variants. Giant dilations occur only rarely and can be easily misdiagnosed as central nervous system tumors. The relevant surgical literature was reviewed to help establish indications for surgical intervention in these typically benign lesions. METHODS:Giant dilations of the PVSs in 12 patients who had undergone surgery for several different indications were identified. Both clinical and radiographic presentations of these patients were reviewed along with the surgical procedures. CONCLUSIONS:Dilations of the PVSs can become giant lesions that may necessitate surgical intervention to relieve mass effect or hydrocephalus. The relationship of these lesions to neurological symptoms such as tremor and seizures remains unclear.

journal_name

J Neurosurg

journal_title

Journal of neurosurgery

authors

House P,Salzman KL,Osborn AG,MacDonald JD,Jensen RL,Couldwell WT

doi

10.3171/jns.2004.100.5.0820

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

820-4

issue

5

eissn

0022-3085

issn

1933-0693

journal_volume

100

pub_type

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