Hydrocephalus due to extreme dilation of Virchow-Robin spaces

Virchow-Robin spaces (VRS) are extensions of the subarachnoid space surrounding perforating blood vessels entering the brain parenchyma. VRS are fluid filled, but almost virtual and only visible on MRI of the brain when dilated. Such dilations are commonly asymptomatic. In rare cases, extreme dilati...

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Bibliographic Details
Published in:BMJ case reports Vol. 2015; no. jan06 1; p. bcr2014207109
Main Authors: Revel, Frederic, Cotton, Francois, Haine, Max, Gilbert, Thomas
Format: Journal Article
Language:English
Published: England BMJ Publishing Group LTD 06-01-2015
BMJ Publishing Group
Series:Case Report
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Summary:Virchow-Robin spaces (VRS) are extensions of the subarachnoid space surrounding perforating blood vessels entering the brain parenchyma. VRS are fluid filled, but almost virtual and only visible on MRI of the brain when dilated. Such dilations are commonly asymptomatic. In rare cases, extreme dilations can be observed; the clinical repercussions of which remain unclear. We report the case of a patient presenting symptoms of normal pressure hydrocephalus due to extreme VRS mesencephalon dilations.
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PMCID: PMC4289809
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2014-207109