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Giant perivascular spaces: an uncommon cause of obstructive hydrocephalus

Hong Kong medical journal = Xianggang yi xue za zhi, 2019-12, Vol.25 (6), p.491.e1-491.e2 [Peer Reviewed Journal]

2019. This work is published under https://creativecommons.org/licenses/by-nc-nd/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 1024-2708 ;EISSN: 2226-8707 ;DOI: 10.12809/hkmj197964 ;PMID: 32127504

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  • Title:
    Giant perivascular spaces: an uncommon cause of obstructive hydrocephalus
  • Author: So, M H ; Lo, W K
  • Subjects: Biopsy ; Cysts ; Edema ; Hydrocephalus ; Magnetic resonance imaging ; Veins & arteries
  • Is Part Of: Hong Kong medical journal = Xianggang yi xue za zhi, 2019-12, Vol.25 (6), p.491.e1-491.e2
  • Description: Urgent magnetic resonance imaging (MRI) scan (Fig 2) of the lesion showed no post-gadolinium enhancement, no restricted diffusion, complete suppression of the cystic areas on T2 fluid attenuation inversion recovery (FLAIR) sequence and no abnormal parenchymal signal intensities compared with normal brain parenchyma. Magnetic resonance images showing tumefactiveperivascular space (arrows): (a) T2-weighted sequence; (b) T2 fluidattenuation inversion sequence with gadolinium showing completesuppression of fluid signal in the multicystic lesion; (c) T1-weightedsequence with gadolinium showing no enhancement; and (d) diffusionweightedimaging showing no restricted diffusion Dilated perivascular spaces (PVSs) in the brain are interstitial fluid-filled structures lined by pia-mater that have accompanying patent penetrating arteries within, most commonly seen along the lenticulostriate arteries.1 They can be unilocular or multilocular and may have a radial pattern along the course of the penetrating arteries. The mass effect of the tumefactive PVS may cause chronic ischaemic change in adjacent white matter.3 Histopathological results typically show a pial-lined cyst with no evidence of neoplasm or infection.
  • Publisher: China: Hong Kong Academy of Medicine
  • Language: English;Chinese
  • Identifier: ISSN: 1024-2708
    EISSN: 2226-8707
    DOI: 10.12809/hkmj197964
    PMID: 32127504
  • Source: Open Access: DOAJ Directory of Open Access Journals
    Freely Accessible Journals
    AUTh Library subscriptions: ProQuest Central

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