Giant perivascular spaces causing hemiparesis successfully treated by cystoventriculoperitoneal shunt

Abstract

We report a 55-year-old man affected by a slowly progressive hemiparesis. Imaging revealed giant dilations of brain perivascular spaces, or Virchow–Robin spaces of the thalamo-mesencephalic region and occlusive hydrocephalus. Stereotactic catheter cystoventriculostomy alone reverted hemiparesis. However, conversion of the catheter into a peritoneal shunt system was necessary to treat hydrocephalus.

Keywords::

• cyst
• hydrocephalus
• supratentorial tumour
• surgical management

Declaration of interest: The authors report no declarations of interest. The authors alone are responsible for the content and writing of the paper.