Abstract
We report a rare case of unusual widening of perivascular spaces (Virchow-Robin spaces). MR images showed multiple small round cystic areas along the perforating medullary arteries with signal intensity identical to the cerebrospinal fluid predominantly in the right cerebral white matter.
Tc-99m HMPAO SPECT images showed no remarkable laterality and no definite ischemic lesion, and the neurological status of the patient was not remarkable.
MR was a diagnostic examination and Tc-99m HMPAO SPECT was a useful supplementary examination in the evaluation of this case of unusual widening of Virchow-Robin spaces.
Similar content being viewed by others
References
Jones EG. On the mode of entry of blood vessels into the cerebral cortex.J Anat 106: 507–520, 1970.
Braffmann BH, Zimmerman RA, Trojanowski JQ, Gonatas NK, Hickey WF, Schaepfer WW. Brain MR: Pathologic correlation with gross and histopathology 1. Lacunar infarction and Virchow-Robin spaces.AJNR 9: 621–628, 1988.
Hirabuki N, Fujita N, Fujii K, Hashimoto T, Kozuka T. MR appearance of Virchow-Robin spaces along lenticulostriate arteries: Spin-echo and two dimensional fast low-angle shot imaging.AJNR Am J Neuroradiol 15: 277–281, 1994.
Heier LA, Bauer CJ, Schwartz L, Zimmerman RD, Morgello S, Deck MFD. Large Virchow-Robin spaces: MR-clinical correlation.AJNR 10: 929–936, 1989.
Ogawa T, Okudera T, Fukasawa H, Hashimoto M, Inugami A, Fujita H, et al. Unusual widening of Virchow-Robin spaces: MR appearance.AJNR 16: 1238–1242, 1995.
Komiyama M, Yasui T, Izumi T. Magnetic resonance imaging features of unusually dilated Virchow-Robin spaces —Two case reports—.Neuro Med Chir [Tokyo] 38: 161–164 1998.
Murata R, Nakajima S, Tanaka A, Miyagi N, Matsuoka O, Kogame S, et al. MR imaging of the brain in patients with mucopolysaccharidosis.AJNR 10: 1165–1170, 1989.
Rollins NK, Deline C, Morriss MC. Prevalence and clinical significance of dilated Virchow-Robin spaces in childhood.Radiology 189: 53–57, 1993.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Ohta, H., Kojima, N., Ihara, N. et al. MR and Tc-99m HMPAO SPECT images in a case of unusual widening of perivascular spaces (Virchow-Robin spaces). Ann Nucl Med 13, 437–439 (1999). https://doi.org/10.1007/BF03164941
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF03164941