Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging

In this manuscript we report the case of a 69-year-old female patient, who suffers from Parkinson's disease (PD) with a dilated Virchow-Robin space (dVRS) on the left anterior perforated substance.During a magnetic resonance imaging examination, the presence of a dVRS was discovered on the left...

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Main Authors: Renata Conforti, Assistant Professor, Angela Sardaro, Medical Director, Alberto Negro, Medical Director, Giuseppina Caiazzo, Biomedical engineer researcher, Antonella Paccone, Medical radiology technician, Rosita De Micco, Sossio Cirillo, Ordinary Professor, Alessandro Tessitore, Associate Professor
Format: Article
Language:English
Published: Elsevier 2018-08-01
Series:Radiology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S1930043318300591
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author Renata Conforti, Assistant Professor
Angela Sardaro, Medical Director
Alberto Negro, Medical Director
Giuseppina Caiazzo, Biomedical engineer researcher
Antonella Paccone, Medical radiology technician
Rosita De Micco
Sossio Cirillo, Ordinary Professor
Alessandro Tessitore, Associate Professor
author_facet Renata Conforti, Assistant Professor
Angela Sardaro, Medical Director
Alberto Negro, Medical Director
Giuseppina Caiazzo, Biomedical engineer researcher
Antonella Paccone, Medical radiology technician
Rosita De Micco
Sossio Cirillo, Ordinary Professor
Alessandro Tessitore, Associate Professor
author_sort Renata Conforti, Assistant Professor
collection DOAJ
description In this manuscript we report the case of a 69-year-old female patient, who suffers from Parkinson's disease (PD) with a dilated Virchow-Robin space (dVRS) on the left anterior perforated substance.During a magnetic resonance imaging examination, the presence of a dVRS was discovered on the left anterior perforated substance.Subsequently, the patient has been subjected to further investigation of magnetic resonance imaging and diffusion tensor imaging (DTI). The DTI data of our PD patient showed increased peak frequency of left fractional anisotropy and decreases in the distribution of Mean Diffusivity(MD) with changes in the fiber density compared to the normal contralateral tract.We hypothesize that the DTI changes are due to dVRS.In the text a review of the recent literature on the presence of dVRSs, located in mono and bilateral seat, in patients with PD is reported, explaining its possible implications on disease progression, cognitive decline, and worsening of symptoms. Keywords: Dilated Virchow-Robin spaces, Parkinson's disease, Magnetic resonance imaging (MRI), Diffusion tensor imaging (DTI)
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spelling doaj.art-eddc29abc2af4cd09592265c91e756d42022-12-22T00:47:00ZengElsevierRadiology Case Reports1930-04332018-08-01134871877Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imagingRenata Conforti, Assistant Professor0Angela Sardaro, Medical Director1Alberto Negro, Medical Director2Giuseppina Caiazzo, Biomedical engineer researcher3Antonella Paccone, Medical radiology technician4Rosita De Micco5Sossio Cirillo, Ordinary Professor6Alessandro Tessitore, Associate Professor7Università degli Studi della Campania Luigi Vanvitelli, Section of Neuroradiology, viale Colli Aminei 21, Napoli 80131, ItalyUniversità degli Studi della Campania Luigi Vanvitelli, piazza Miraglia 2, Napoli 80138, ItalyUniversità degli Studi della Campania Luigi Vanvitelli, Section of Neuroradiology, viale Colli Aminei 21, Napoli 80131, Italy; Corresponding author.MRI Research Center SUN-FISM, Università degli Studi della Campania Luigi Vanvitelli, piazza Miraglia 2, Napoli 80138, ItalyMRI Research Center SUN-FISM, Università degli Studi della Campania Luigi Vanvitelli, piazza Miraglia 2, Napoli 80138, ItalyUniversità degli Studi della Campania Luigi Vanvitelli, Dipartimento di Scienze Mediche, Chirurgiche, Neurologiche, Metaboliche e dell'Invecchiamento, piazza Miraglia 2, Napoli 80138, ItalyUniversità degli Studi della Campania Luigi Vanvitelli, Section of Neuroradiology, viale Colli Aminei 21, Napoli 80131, ItalyUniversità degli Studi della Campania Luigi Vanvitelli, Dipartimento di Scienze Mediche, Chirurgiche, Neurologiche, Metaboliche e dell'Invecchiamento, piazza Miraglia 2, Napoli 80138, ItalyIn this manuscript we report the case of a 69-year-old female patient, who suffers from Parkinson's disease (PD) with a dilated Virchow-Robin space (dVRS) on the left anterior perforated substance.During a magnetic resonance imaging examination, the presence of a dVRS was discovered on the left anterior perforated substance.Subsequently, the patient has been subjected to further investigation of magnetic resonance imaging and diffusion tensor imaging (DTI). The DTI data of our PD patient showed increased peak frequency of left fractional anisotropy and decreases in the distribution of Mean Diffusivity(MD) with changes in the fiber density compared to the normal contralateral tract.We hypothesize that the DTI changes are due to dVRS.In the text a review of the recent literature on the presence of dVRSs, located in mono and bilateral seat, in patients with PD is reported, explaining its possible implications on disease progression, cognitive decline, and worsening of symptoms. Keywords: Dilated Virchow-Robin spaces, Parkinson's disease, Magnetic resonance imaging (MRI), Diffusion tensor imaging (DTI)http://www.sciencedirect.com/science/article/pii/S1930043318300591
spellingShingle Renata Conforti, Assistant Professor
Angela Sardaro, Medical Director
Alberto Negro, Medical Director
Giuseppina Caiazzo, Biomedical engineer researcher
Antonella Paccone, Medical radiology technician
Rosita De Micco
Sossio Cirillo, Ordinary Professor
Alessandro Tessitore, Associate Professor
Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
Radiology Case Reports
title Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
title_full Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
title_fullStr Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
title_full_unstemmed Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
title_short Dilated Virchow-Robin space and Parkinson's disease: A case report of combined MRI and diffusion tensor imaging
title_sort dilated virchow robin space and parkinson s disease a case report of combined mri and diffusion tensor imaging
url http://www.sciencedirect.com/science/article/pii/S1930043318300591
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