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Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity
BACKGROUND: Giant tumefactive perivascular spaces (TPVS) are radiological rarities and may mimic other neurological structural lesions. Fewer than 80 cases have been reported in the literature with even fewer in the pediatric population. CASE DESCRIPTION: The authors present an image report showcasi...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Scientific Scholar
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720451/ https://www.ncbi.nlm.nih.gov/pubmed/34992929 http://dx.doi.org/10.25259/SNI_990_2021 |
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author | Bajwa, Mohammad Hamza Ul Islam, Mohammad Yousuf Mubarak, Fatima |
author_facet | Bajwa, Mohammad Hamza Ul Islam, Mohammad Yousuf Mubarak, Fatima |
author_sort | Bajwa, Mohammad Hamza |
collection | PubMed |
description | BACKGROUND: Giant tumefactive perivascular spaces (TPVS) are radiological rarities and may mimic other neurological structural lesions. Fewer than 80 cases have been reported in the literature with even fewer in the pediatric population. CASE DESCRIPTION: The authors present an image report showcasing a 3-year-old boy presenting with uncontrolled seizures despite multiple anti-epileptic medications. His magnetic resonance imaging showed multiple, non-contrast enhancing cyst clusters within the left parieto-occipital region that was hyperintense on T2-weighted imaging, and isointense to cerebrospinal fluid. Due to a characteristic absence of perilesional edema seen on fluid-attenuated inversion recovery imaging or diffusion restriction on diffusion-weighted imaging (DWI) sequences, this was diagnosed as a giant TPVS. CONCLUSION: Accurate diagnosis of these rare radiological entities is based on pathognomonic findings that can help prevent unnecessary surgery and guide management for patients, particularly in the pediatric population as seen in our case. |
format | Online Article Text |
id | pubmed-8720451 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Scientific Scholar |
record_format | MEDLINE/PubMed |
spelling | pubmed-87204512022-01-05 Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity Bajwa, Mohammad Hamza Ul Islam, Mohammad Yousuf Mubarak, Fatima Surg Neurol Int Image Report BACKGROUND: Giant tumefactive perivascular spaces (TPVS) are radiological rarities and may mimic other neurological structural lesions. Fewer than 80 cases have been reported in the literature with even fewer in the pediatric population. CASE DESCRIPTION: The authors present an image report showcasing a 3-year-old boy presenting with uncontrolled seizures despite multiple anti-epileptic medications. His magnetic resonance imaging showed multiple, non-contrast enhancing cyst clusters within the left parieto-occipital region that was hyperintense on T2-weighted imaging, and isointense to cerebrospinal fluid. Due to a characteristic absence of perilesional edema seen on fluid-attenuated inversion recovery imaging or diffusion restriction on diffusion-weighted imaging (DWI) sequences, this was diagnosed as a giant TPVS. CONCLUSION: Accurate diagnosis of these rare radiological entities is based on pathognomonic findings that can help prevent unnecessary surgery and guide management for patients, particularly in the pediatric population as seen in our case. Scientific Scholar 2021-12-14 /pmc/articles/PMC8720451/ /pubmed/34992929 http://dx.doi.org/10.25259/SNI_990_2021 Text en Copyright: © 2021 Surgical Neurology International https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms. |
spellingShingle | Image Report Bajwa, Mohammad Hamza Ul Islam, Mohammad Yousuf Mubarak, Fatima Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title | Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title_full | Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title_fullStr | Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title_full_unstemmed | Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title_short | Giant tumefactive perivascular spaces in a pediatric patient: A rare radiological entity |
title_sort | giant tumefactive perivascular spaces in a pediatric patient: a rare radiological entity |
topic | Image Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8720451/ https://www.ncbi.nlm.nih.gov/pubmed/34992929 http://dx.doi.org/10.25259/SNI_990_2021 |
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