| Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update. | |
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MedLine Citation:
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PMID: 20437240 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Perivascular spaces or Virchow-Robin spaces are normal anatomical structures within the brain, typically less than 5 mm in diameter. Rarely, they can reach much larger sizes and adopt bizarre single or multi-cystic configurations, as was the case in the patient that we report on. When there is such markedly gross dilatation, the phenomenon is known as Giant or tumefactive perivascular space enlargement. CASE REPORT: We report a 6-year-old boy with a multi-cystic mesencephalic lesions presenting with obstructive hydrocephalus secondary to obstruction of the aqueduct of Sylvius due to tumefactive dilatation of Virchow-Robin spaces. The patient underwent an endoscopic fenestration and biopsy of the cystic portion abutting into the ventricular system. CONCLUSION: In this paper, we discuss the phenomenon of perivascular (Virchow-Robin) spaces and their treatment options and review the relevant literature. To our knowledge, this is the first pediatric case of tumefactive dilatation of the Virchow-Robin spaces causing obstructive hydrocephalus that were directly fenestrated using neuroendoscopy. |
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Authors:
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Oluwafikayo Fayeye; Benedetta Ludovica Pettorini; Katharine Foster; Desiderio Rodrigues |
Publication Detail:
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Type: Case Reports; Journal Article; Review Date: 2010-05-02 |
Journal Detail:
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Title: Child's nervous system : ChNS : official journal of the International Society for Pediatric Neurosurgery Volume: 26 ISSN: 1433-0350 ISO Abbreviation: Childs Nerv Syst Publication Date: 2010 Sep |
Date Detail:
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Created Date: 2010-08-12 Completed Date: 2010-11-30 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8503227 Medline TA: Childs Nerv Syst Country: Germany |
Other Details:
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Languages: eng Pagination: 1155-60 Citation Subset: IM |
Affiliation:
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Paediatric Neurosurgery Department, Birmingham Children's Hospital, Steelhouse Lane, Birmingham, UK. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Brain Diseases
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pathology*,
therapy Child Cysts / complications, pathology*, therapy Dilatation, Pathologic / complications, pathology, therapy Humans Hydrocephalus / etiology, pathology*, therapy Magnetic Resonance Imaging Male Mesencephalon / blood supply, pathology* Neuroendoscopy Subarachnoid Space / pathology Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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