title: Giant Virchow-Robin spaces as an incidental finding in a patient with parkinsonism.
abstract: Virchow-Robin spaces are perivascular spaces that surround small arteries and arterioles as they enter the brain parenchyma. They are usually normal findings on MRI of healthy people. Rarely, Virchow-Robin spaces look strikingly enlarged, causing mass effect and unusual cystic conformations that may be misinterpreted as other pathologic processes, such as a cystic neoplasm. Here, we describe a 52-year-old woman in whom brain magnetic resonance imaging (MRI), performed to evaluate Parkinsonism, incidentally found giant Virchow-Robins space or Swiss cheese brain syndrome. In our patient, it seems that the giant Virchow-Robin spaces have been found incidentally and are not associated with the patient's Parkinsonism symptoms.
authors: Neurology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.f-fatehi@sina.tums.ac.ir.
authors: Shirin Jamal
authors: SJ
authors: Omidi
authors: Neurology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors: Hamid Noorollahi
authors: HN
authors: Moghadam
authors: Neurology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors: Askar
authors: A
authors: Ghorbani
authors: Neurology Department, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
authors: Farzad
authors: F
authors: Fatehi
mesh_terms: D001921:Brain / Q000473:pathology*; D005260:Female; D006801:Humans; D033162:Incidental Findings; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D020734:Parkinsonian Disorders / Q000175:diagnosis*; D013346:Subarachnoid Space / Q000473:pathology