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Technical Note

Giant Tumefactive Perivascular Spaces Mimicking a Brain Mass Lesion: Report of Three Cases

by
Elisa Ventura
1,*,
Fabio Rinaldi
2,
Elena Prodi
1 and
Alessandro Cianfoni
1
1
Ospedale Regionale di Lugano Civico e Italiano, Via Tesserete 46, Lugano, 6900 Ticino, Switzerland
2
Università degli Studi della Campania Luigi Vanvitelli, 80138 Napoli, Italy
*
Author to whom correspondence should be addressed.
Clin. Transl. Neurosci. 2019, 3(1), 10; https://doi.org/10.1177/2514183x19854883
Submission received: 8 April 2019 / Accepted: 8 May 2019 / Published: 18 June 2019

Abstract

Virchow–Robin spaces or perivascular spaces are pial-lined fluid-filled interstitial spaces recognized throughout brain parenchyma along the path of penetrating vessels. Occasionally, they may become enlarged, cause mass effect, and be mistaken for cystic neoplasms or infections. We report three cases of giant tumefactive perivascular spaces (GTPVS) incidentally found at brain magnetic resonance imaging (MRI). The lesions were multilocular cystic-appearing, isointense to cerebrospinal fluid on all pulse sequences, and did not enhance. They were located both in typical and atypical locations and in one case associated with hydrocephalus. We describe the key features of GTPVS on MRI and illustrate the need to acknowledge and promptly recognize these entities in daily practice in order to avoid unnecessary treatment.
Keywords: MRI; Virchow–Robin spaces; perivascular spaces; brain tumor MRI; Virchow–Robin spaces; perivascular spaces; brain tumor

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MDPI and ACS Style

Ventura, E.; Rinaldi, F.; Prodi, E.; Cianfoni, A. Giant Tumefactive Perivascular Spaces Mimicking a Brain Mass Lesion: Report of Three Cases. Clin. Transl. Neurosci. 2019, 3, 10. https://doi.org/10.1177/2514183x19854883

AMA Style

Ventura E, Rinaldi F, Prodi E, Cianfoni A. Giant Tumefactive Perivascular Spaces Mimicking a Brain Mass Lesion: Report of Three Cases. Clinical and Translational Neuroscience. 2019; 3(1):10. https://doi.org/10.1177/2514183x19854883

Chicago/Turabian Style

Ventura, Elisa, Fabio Rinaldi, Elena Prodi, and Alessandro Cianfoni. 2019. "Giant Tumefactive Perivascular Spaces Mimicking a Brain Mass Lesion: Report of Three Cases" Clinical and Translational Neuroscience 3, no. 1: 10. https://doi.org/10.1177/2514183x19854883

APA Style

Ventura, E., Rinaldi, F., Prodi, E., & Cianfoni, A. (2019). Giant Tumefactive Perivascular Spaces Mimicking a Brain Mass Lesion: Report of Three Cases. Clinical and Translational Neuroscience, 3(1), 10. https://doi.org/10.1177/2514183x19854883

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