Algin O, Conforti R, Saturnino P P, Ozmen E, Cirillo M, Di Costanzo A, De Cristofaro M, Rotondo M, Cirillo S
Department of Radiology, Ataturk Training and Research Hospital; Bilkent, Ankara, Turkey -
Neuroradiol J. 2012 Sep;25(4):415-22. doi: 10.1177/197140091202500404. Epub 2012 Sep 6.
Virchow-Robin spaces are lesions often seen in the brain parenchyma but their etiopathogenesis remains unsettled. Giant Virchow-Robin spaces placed in the midbrain are extremely rare. We describe three patients with a diagnosis of giant Virchow-Robin spaces in the midbrain, and their clinical and radiologic findings. We reviewed the literature in terms of the etiopathology, anatomic and radiologic appearance and differential diagnosis of the giant Virchow-Robin spaces. The diagno-stic role of the high Tesla magnetic resonance devices and new sequences techniques such as three dimensional isotropic acquisition and diffusion tensor imaging were also evaluated in this case series.
血管周围间隙是在脑实质中常见的病变,但其病因发病机制仍未明确。位于中脑的巨大血管周围间隙极为罕见。我们描述了3例诊断为中脑巨大血管周围间隙的患者及其临床和影像学表现。我们就巨大血管周围间隙的病因病理学、解剖学和影像学表现以及鉴别诊断对文献进行了综述。本病例系列还评估了高场强磁共振设备以及三维各向同性采集和扩散张量成像等新序列技术的诊断作用。