Presentation
History of recent head trauma and found incidental finding on CT.
Patient Data
Age: 30 years
Gender: Male
From the case:
Giant Virchow-Robin spaces
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Right frontal cortical and subcortical hypodense lesion with associated focal thinning of the frontal bone suggesting long standing lesion.
From the case:
Giant Virchow-Robin spaces
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A right frontal subcortical multicystic area that displays CSF signal intensity in all pulse sequences with no significant mass effect, diffusion restriction or post-contrast enhancement.
Case Discussion
Dilated perivascular spaces are usually incidentally discovered. In most cases they are small and cyst-like yet in few cases they enlarge, acquire bizarre shape and mistaken for tumors. Sometimes they may cause mass effect. Here is a nice example of giant type II perivascular spaces.
The differential diagnosis includes:
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