Virchow-Robin spaces are easily mistaken for resembling pathologies – lacunar infarcts, periventricular cystic leukomalacia, multiple sclerosis, and many others due to their imaging properties. We performed an observational study to determine the topographic distribution and prevalence of dilated Virchow-Robin spaces (dVRS) in patients undergoing magnetic resonance imaging (MRI) and computed tomography (CT). The study was conducted in the Department of Neuroradiology, CEDIMAT – an advanced medicine and telemedicine diagnostic center in the Dominican Republic, between June 2017 and June 2018. A total of 197 scans, 87 MRI and 127 CT, were investigated retrospectively. The center’s neuroradiologist described morphologic and topographic characteristics. Results obtained concluded a dVRS prevalence of (2.31%), most commonly in subjects 60 to 79 years of age (36.55%) and a dominant occurrence in females (52.79%). Regarding location, type II was the most frequent (42.50%). When classifying according to number of dVRS present in the white matter (WM), grade 1 was the highest (99.49%). In the basal ganglia, grade 1 was also the most encountered (98.48%). The largest diameter of a dVRS was located rostrocaudally (Z) (89.34%) with an average of 7.47mm. Lacunar infarctions were the most common differential diagnosis (22.06%). However, there was no established differential diagnosis in (68.14%). dVRS occurrences were most frequently associated with cortical atrophy (19.11%), leukoaraiosis (7.72%), and microvascular diseases (4.88%) on imaging, while (47.46%) of the cases were not concomitant with any diagnosis. The results of this study allow for better recognition of dVRS and differentiation from various pathologies, specifically lacunar infarctions.
| Published in | World Journal of Medical Case Reports (Volume 3, Issue 2) |
| DOI | 10.11648/j.wjmcr.20220302.11 |
| Page(s) | 11-20 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2022. Published by Science Publishing Group |
Perivascular Spaces, Dilated Virchow-Robin Spaces, Magnetic Resonance Imaging, Axial Computed Tomography
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APA Style
Arlenin Espaillat, Manuel Encarnacion Ramirez, Rossi Barrientos, Renat Nurmukhametov, Ismael Peralta, et al. (2022). Prevalece and Topography Anatomy of Dilated Virchow-Robin Spaces. World Journal of Medical Case Reports, 3(2), 11-20. https://doi.org/10.11648/j.wjmcr.20220302.11
ACS Style
Arlenin Espaillat; Manuel Encarnacion Ramirez; Rossi Barrientos; Renat Nurmukhametov; Ismael Peralta, et al. Prevalece and Topography Anatomy of Dilated Virchow-Robin Spaces. World J. Med. Case Rep. 2022, 3(2), 11-20. doi: 10.11648/j.wjmcr.20220302.11
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Download@article{10.11648/j.wjmcr.20220302.11,
author = {Arlenin Espaillat and Manuel Encarnacion Ramirez and Rossi Barrientos and Renat Nurmukhametov and Ismael Peralta and Cesar Coats and Franklin Marmol and Oskaury Jimenez and Rafael Fermin and Santiago Valenzuela and Dilara Akkad},
title = {Prevalece and Topography Anatomy of Dilated Virchow-Robin Spaces},
journal = {World Journal of Medical Case Reports},
volume = {3},
number = {2},
pages = {11-20},
doi = {10.11648/j.wjmcr.20220302.11},
url = {https://doi.org/10.11648/j.wjmcr.20220302.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20220302.11},
abstract = {Virchow-Robin spaces are easily mistaken for resembling pathologies – lacunar infarcts, periventricular cystic leukomalacia, multiple sclerosis, and many others due to their imaging properties. We performed an observational study to determine the topographic distribution and prevalence of dilated Virchow-Robin spaces (dVRS) in patients undergoing magnetic resonance imaging (MRI) and computed tomography (CT). The study was conducted in the Department of Neuroradiology, CEDIMAT – an advanced medicine and telemedicine diagnostic center in the Dominican Republic, between June 2017 and June 2018. A total of 197 scans, 87 MRI and 127 CT, were investigated retrospectively. The center’s neuroradiologist described morphologic and topographic characteristics. Results obtained concluded a dVRS prevalence of (2.31%), most commonly in subjects 60 to 79 years of age (36.55%) and a dominant occurrence in females (52.79%). Regarding location, type II was the most frequent (42.50%). When classifying according to number of dVRS present in the white matter (WM), grade 1 was the highest (99.49%). In the basal ganglia, grade 1 was also the most encountered (98.48%). The largest diameter of a dVRS was located rostrocaudally (Z) (89.34%) with an average of 7.47mm. Lacunar infarctions were the most common differential diagnosis (22.06%). However, there was no established differential diagnosis in (68.14%). dVRS occurrences were most frequently associated with cortical atrophy (19.11%), leukoaraiosis (7.72%), and microvascular diseases (4.88%) on imaging, while (47.46%) of the cases were not concomitant with any diagnosis. The results of this study allow for better recognition of dVRS and differentiation from various pathologies, specifically lacunar infarctions.},
year = {2022}
}
TY - JOUR T1 - Prevalece and Topography Anatomy of Dilated Virchow-Robin Spaces AU - Arlenin Espaillat AU - Manuel Encarnacion Ramirez AU - Rossi Barrientos AU - Renat Nurmukhametov AU - Ismael Peralta AU - Cesar Coats AU - Franklin Marmol AU - Oskaury Jimenez AU - Rafael Fermin AU - Santiago Valenzuela AU - Dilara Akkad Y1 - 2022/04/22 PY - 2022 N1 - https://doi.org/10.11648/j.wjmcr.20220302.11 DO - 10.11648/j.wjmcr.20220302.11 T2 - World Journal of Medical Case Reports JF - World Journal of Medical Case Reports JO - World Journal of Medical Case Reports SP - 11 EP - 20 PB - Science Publishing Group SN - 2994-726X UR - https://doi.org/10.11648/j.wjmcr.20220302.11 AB - Virchow-Robin spaces are easily mistaken for resembling pathologies – lacunar infarcts, periventricular cystic leukomalacia, multiple sclerosis, and many others due to their imaging properties. We performed an observational study to determine the topographic distribution and prevalence of dilated Virchow-Robin spaces (dVRS) in patients undergoing magnetic resonance imaging (MRI) and computed tomography (CT). The study was conducted in the Department of Neuroradiology, CEDIMAT – an advanced medicine and telemedicine diagnostic center in the Dominican Republic, between June 2017 and June 2018. A total of 197 scans, 87 MRI and 127 CT, were investigated retrospectively. The center’s neuroradiologist described morphologic and topographic characteristics. Results obtained concluded a dVRS prevalence of (2.31%), most commonly in subjects 60 to 79 years of age (36.55%) and a dominant occurrence in females (52.79%). Regarding location, type II was the most frequent (42.50%). When classifying according to number of dVRS present in the white matter (WM), grade 1 was the highest (99.49%). In the basal ganglia, grade 1 was also the most encountered (98.48%). The largest diameter of a dVRS was located rostrocaudally (Z) (89.34%) with an average of 7.47mm. Lacunar infarctions were the most common differential diagnosis (22.06%). However, there was no established differential diagnosis in (68.14%). dVRS occurrences were most frequently associated with cortical atrophy (19.11%), leukoaraiosis (7.72%), and microvascular diseases (4.88%) on imaging, while (47.46%) of the cases were not concomitant with any diagnosis. The results of this study allow for better recognition of dVRS and differentiation from various pathologies, specifically lacunar infarctions. VL - 3 IS - 2 ER -
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