Nota Clínica

The importance of the identification of the spaces of virchow-robin. A report of four cases

S. Rafia, M.R. Pizzatto, I. Pascual-Castroviejo [REV NEUROL 2001;33:833-836] PMID: 11784985 DOI: https://doi.org/10.33588/rn.3309.2001201

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Volumen 33 | Number 09 | Nº of views of the article 106.713 | Nº of PDF downloads 859 | Article publication date 01/11/2001

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ABSTRACT

OBJECTIVE. To emphasize the importance of recognizing the Virchow-Robin spaces as normal anatomic structures on magnetic resonance (MR). CLINICAL CASES. Presentation of four patients seen in the Pediatric Neurology Department in La Paz Hospital. They consulted for different reasons, having been studied by MR to help identify their pathology.

RESULTS The MR showed cystic structures which correspond to dilated Virchow-Robin spaces in several zones of the cerebral white matter.

CONCLUSIONS Although dilated Virchow-Robin spaces have been associated with various pathologies, they constitute normal anatomic structures, which consists of perivascular spaces surrounding the cerebral perforating arteries, which should always be kept in mind when visualizing cystic structures in the cerebral white matter and basal ganglia, circular or elongated, following the path of the perforating blood vessels, and which have the same intensity of cerebrospinal fluid on T1 sequences as on T2 on MR, especially if they are bilateral and multiple. KeywordsEpilepsy Intracranial cavities Magnetic resonance Virchow-Robin spaces CategoriesEpilepsias y síndromes epilépticos

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Nota Clínica

The importance of the identification of the spaces of virchow-robin. A report of four cases