Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update
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 the...
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| Veröffentlicht in: | Child's nervous system 2010-09, Vol.26 (9), p.1155-1160 |
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| creator | Fayeye, Oluwafikayo Pettorini, Benedetta Ludovica Foster, Katharine Rodrigues, Desiderio |
| description | 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. |
| doi_str_mv | 10.1007/s00381-010-1164-4 |
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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.</description><identifier>ISSN: 0256-7040</identifier><identifier>EISSN: 1433-0350</identifier><identifier>DOI: 10.1007/s00381-010-1164-4</identifier><identifier>PMID: 20437240</identifier><language>eng</language><publisher>Berlin/Heidelberg: Berlin/Heidelberg : Springer-Verlag</publisher><subject>Brain Diseases - pathology ; Brain Diseases - therapy ; Case-Based Update ; Child ; Cysts - complications ; Cysts - pathology ; Cysts - therapy ; Dilatation, Pathologic - complications ; Dilatation, Pathologic - pathology ; Dilatation, Pathologic - therapy ; Endoscopic fenestration ; Giant perivascular space enlargement ; Humans ; Hydrocephalus - etiology ; Hydrocephalus - pathology ; Hydrocephalus - therapy ; Intraventricular cyst ; Magnetic Resonance Imaging ; Male ; Medicine ; Medicine & Public Health ; Mesencephalon ; Mesencephalon - blood supply ; Mesencephalon - pathology ; Neuroendoscopy ; Neurosciences ; Neurosurgery ; Subarachnoid Space - pathology ; Treatment Outcome</subject><ispartof>Child's nervous system, 2010-09, Vol.26 (9), p.1155-1160</ispartof><rights>Springer-Verlag 2010</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c399t-1af11fe41597bde53b8aeb1140178711f411a3f77a430a37f8b2df3e834bedf43</citedby><cites>FETCH-LOGICAL-c399t-1af11fe41597bde53b8aeb1140178711f411a3f77a430a37f8b2df3e834bedf43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00381-010-1164-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00381-010-1164-4$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20437240$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Fayeye, Oluwafikayo</creatorcontrib><creatorcontrib>Pettorini, Benedetta Ludovica</creatorcontrib><creatorcontrib>Foster, Katharine</creatorcontrib><creatorcontrib>Rodrigues, Desiderio</creatorcontrib><title>Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update</title><title>Child's nervous system</title><addtitle>Childs Nerv Syst</addtitle><addtitle>Childs Nerv Syst</addtitle><description>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.</description><subject>Brain Diseases - pathology</subject><subject>Brain Diseases - therapy</subject><subject>Case-Based Update</subject><subject>Child</subject><subject>Cysts - complications</subject><subject>Cysts - pathology</subject><subject>Cysts - therapy</subject><subject>Dilatation, Pathologic - complications</subject><subject>Dilatation, Pathologic - pathology</subject><subject>Dilatation, Pathologic - therapy</subject><subject>Endoscopic fenestration</subject><subject>Giant perivascular space enlargement</subject><subject>Humans</subject><subject>Hydrocephalus - etiology</subject><subject>Hydrocephalus - pathology</subject><subject>Hydrocephalus - therapy</subject><subject>Intraventricular cyst</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mesencephalon</subject><subject>Mesencephalon - blood supply</subject><subject>Mesencephalon - pathology</subject><subject>Neuroendoscopy</subject><subject>Neurosciences</subject><subject>Neurosurgery</subject><subject>Subarachnoid Space - pathology</subject><subject>Treatment Outcome</subject><issn>0256-7040</issn><issn>1433-0350</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkMFu1DAQhi1ERbeFB-ACuXEyzNhO7HBDFVCkokql5WrZyXibKhsHeyO0b1-vUjjCxfZ4vvltfYy9RniPAPpDBpAGOSBwxEZx9YxtUEnJQdbwnG1A1A3XoOCUneX8AIC1Ee0LdipASS0UbNjtd8o0dTTfu3HoKppGl7bUVz-H1N3H3_wm-mGq8uw6ylU5uarhB3KJx7GvfDx8LDedy8R9WfpqmXu3p5fsJLgx06un_Zzdffl8e3HJr66_frv4dMU72bZ7ji4gBlJYt9r3VEtvHHlEBaiNLi2F6GTQ2ikJTupgvOiDJCOVpz4oec7erblzir8Wynu7G3JH4-gmiku2LQipG9O0_yW1Mm15TZhC4kp2KeacKNg5DTuXDhbBHq3b1bqFY12s2-M_3jylL35H_d-JP5oLIFYgl9a0pWQf4pKm4uafqW_XoeCidds0ZHv3QwBKQKMNgpaPdWGUUg</recordid><startdate>20100901</startdate><enddate>20100901</enddate><creator>Fayeye, Oluwafikayo</creator><creator>Pettorini, Benedetta Ludovica</creator><creator>Foster, Katharine</creator><creator>Rodrigues, Desiderio</creator><general>Berlin/Heidelberg : Springer-Verlag</general><general>Springer-Verlag</general><scope>FBQ</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20100901</creationdate><title>Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update</title><author>Fayeye, Oluwafikayo ; Pettorini, Benedetta Ludovica ; Foster, Katharine ; Rodrigues, Desiderio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c399t-1af11fe41597bde53b8aeb1140178711f411a3f77a430a37f8b2df3e834bedf43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Brain Diseases - pathology</topic><topic>Brain Diseases - therapy</topic><topic>Case-Based Update</topic><topic>Child</topic><topic>Cysts - complications</topic><topic>Cysts - pathology</topic><topic>Cysts - therapy</topic><topic>Dilatation, Pathologic - complications</topic><topic>Dilatation, Pathologic - pathology</topic><topic>Dilatation, Pathologic - therapy</topic><topic>Endoscopic fenestration</topic><topic>Giant perivascular space enlargement</topic><topic>Humans</topic><topic>Hydrocephalus - etiology</topic><topic>Hydrocephalus - pathology</topic><topic>Hydrocephalus - therapy</topic><topic>Intraventricular cyst</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mesencephalon</topic><topic>Mesencephalon - blood supply</topic><topic>Mesencephalon - pathology</topic><topic>Neuroendoscopy</topic><topic>Neurosciences</topic><topic>Neurosurgery</topic><topic>Subarachnoid Space - pathology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Fayeye, Oluwafikayo</creatorcontrib><creatorcontrib>Pettorini, Benedetta Ludovica</creatorcontrib><creatorcontrib>Foster, Katharine</creatorcontrib><creatorcontrib>Rodrigues, Desiderio</creatorcontrib><collection>AGRIS</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Neurosciences Abstracts</collection><jtitle>Child's nervous system</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Fayeye, Oluwafikayo</au><au>Pettorini, Benedetta Ludovica</au><au>Foster, Katharine</au><au>Rodrigues, Desiderio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update</atitle><jtitle>Child's nervous system</jtitle><stitle>Childs Nerv Syst</stitle><addtitle>Childs Nerv Syst</addtitle><date>2010-09-01</date><risdate>2010</risdate><volume>26</volume><issue>9</issue><spage>1155</spage><epage>1160</epage><pages>1155-1160</pages><issn>0256-7040</issn><eissn>1433-0350</eissn><abstract>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.</abstract><cop>Berlin/Heidelberg</cop><pub>Berlin/Heidelberg : Springer-Verlag</pub><pmid>20437240</pmid><doi>10.1007/s00381-010-1164-4</doi><tpages>6</tpages></addata></record> |
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| subjects | Brain Diseases - pathology Brain Diseases - therapy Case-Based Update Child Cysts - complications Cysts - pathology Cysts - therapy Dilatation, Pathologic - complications Dilatation, Pathologic - pathology Dilatation, Pathologic - therapy Endoscopic fenestration Giant perivascular space enlargement Humans Hydrocephalus - etiology Hydrocephalus - pathology Hydrocephalus - therapy Intraventricular cyst Magnetic Resonance Imaging Male Medicine Medicine & Public Health Mesencephalon Mesencephalon - blood supply Mesencephalon - pathology Neuroendoscopy Neurosciences Neurosurgery Subarachnoid Space - pathology Treatment Outcome |
| title | Mesencephalic enlarged Virchow-Robin spaces in a 6-year-old boy: a case-based update |
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