TY - JOUR
T1 - Giant perivascular space
T2 - a rare cause of acute neurosurgical emergency
AU - Thirumurthi, Tharikeshwari
AU - Abdelrahman, Mohamed
AU - Kanodia, Avinash Kumar
AU - Elmaadawi, Ibrahim
AU - Torgersen, Antonia
AU - Rajendra, Jayesh
AU - Hossain-Ibrahim, Kismet
PY - 2020/9/22
Y1 - 2020/9/22
N2 - We present a rare case of giant perivascular space in mesencephalo-thalamic region causing hydrocephalus. The patient presented insidiously over 6 months. However, the patient suddenly deteriorated in the hospital with visual symptoms, increasing headache and papilloedema, prompting urgent VP shunt and biopsy. Patient's symptoms resolved completely after decompression and he continues to remain symptom free. This patient is only the second described case of giant perivascular space with sudden deterioration of symptoms. This case report is intended to highlight this rare presentation of this cyst which can potentially suggest a more aggressive underlying lesion and prompt a biopsy which can be risky, given the proximity to perforators and normal structures, which is otherwise not necessary.
AB - We present a rare case of giant perivascular space in mesencephalo-thalamic region causing hydrocephalus. The patient presented insidiously over 6 months. However, the patient suddenly deteriorated in the hospital with visual symptoms, increasing headache and papilloedema, prompting urgent VP shunt and biopsy. Patient's symptoms resolved completely after decompression and he continues to remain symptom free. This patient is only the second described case of giant perivascular space with sudden deterioration of symptoms. This case report is intended to highlight this rare presentation of this cyst which can potentially suggest a more aggressive underlying lesion and prompt a biopsy which can be risky, given the proximity to perforators and normal structures, which is otherwise not necessary.
KW - Giant perivascular space
KW - cystic neoplasms
KW - acute deterioration
KW - complete recovery
U2 - 10.1080/02688697.2020.1823942
DO - 10.1080/02688697.2020.1823942
M3 - Article
C2 - 32959706
JO - British Journal of Neurosurgery
JF - British Journal of Neurosurgery
SN - 0268-8697
ER -