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Giant expanded perivascular spaces: literature review and description of a clinical case

https://doi.org/10.24884/1607-4181-2021-28-2-45-51

Abstract

The differentiation of giant perivascular spaces is the complicated task due to its rare occurrence and multiple differential series. Cystic neoplasms, parasitic cysts, and lacunar strokes are need to be excluded. Knowing and ability to recognize pathognomonic radiological features can help to prevent excessive diagnostics and make the correct diagnose quickly. The article presents a clinical case of a rare and difficulty diagnosing variant of giant perivascular spaces.

About the Authors

E. A. Gavrilova
Pavlov University
Russian Federation

Gavrilova Evgeniya A. – Neurologist and Acupuncturist of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology, Postgraduate Student.

6-8, L’va Tolstogo str., Saint Petersburg, 197022


Competing Interests:

Authors declare no conflict of interest.



V. A. Ott
Pavlov University
Russian Federation

Ott Valeriya A. – Resident of the Department of Neurology and Neurosurgery.

Saint Petersburg.


Competing Interests:

Authors declare no conflict of interest.



A. A. Yakovlev
Pavlov University; North-Western State Medical University named after I. I. Mechnikov
Russian Federation

Yakovlev Alexey A. – Cand. of Sci. (Med.), Doctor of the Higher Qualification, Neurologist, Doctor in Physical Therapy and Sports Medicine, Reflexologist, Head of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology; Assistant of the Department of Neurology and Manual Medicine.

Saint Petersburg.


Competing Interests:

Authors declare no conflict of interest.



S. A. Yakovlev
City multidisciplinary hospital № 2
Russian Federation

Yakovlev Sergey A. – Radiologist of the Magnetic Resonance Imaging Department.


Competing Interests:

Authors declare no conflict of interest.



A. G. Smochilin
Pavlov University
Russian Federation

Smochilin Andrey G. – Neurologist of the Neurological Department № 2 of the Clinic of the Research Institute of Neurology, Postgraduate Student and Assistant of the Department of Neurology and Manual Medicine.

Saint Petersburg.


Competing Interests:

Authors declare no conflict of interest.



References

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4. Salzman K. L., Osborn A. G., House P. et al. Giant tumefactive perivascular spaces // AJNR – Am. J. Neuroradiol. 2005;26(2):298–305. PMID: 15709127.

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6. Smith K. A., Lavin P., Chamoun R. Neuroendoscopic treatment of symptomatic giant Virchow – Robin spaces // Surg Neurol Int. 2015;(6):120.

7. House P., Salzman K. L., Osborn A. G., MacDonald J. D., Jensen R. L., Couldwell W. T. et al. Surgical considerations regarding giant dilations of the perivascular spaces // J Neurosurg 2004;100:820–824. Doi: 10.3171/jns.2004.100.5.0820.

8. Sankararaman S., Velayuthan S., Ambekar S., Gonzalez-Toledo E. Giant tumefactive perivascular spaces: A further case // J Pediatr Neurosci. 2013;8(2):108–110. Doi: 10.4103/1817-1745.117837.


Review

For citations:


Gavrilova E.A., Ott V.A., Yakovlev A.A., Yakovlev S.A., Smochilin A.G. Giant expanded perivascular spaces: literature review and description of a clinical case. The Scientific Notes of the Pavlov University. 2021;28(2):45-51. (In Russ.) https://doi.org/10.24884/1607-4181-2021-28-2-45-51

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ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)