- Virchow-Robin spaces
Virchow-Robin spaces, or enlarged perivascular spaces (EPVS) are spaces (often only potential) that surround
blood vessels for a short distance as they enter thebrain . Their wall is formed by prolongations of thepia mater .Function
They contain
macrophages andlymphocyte s and have been suggested to be the site of entry for these cells of the immune system to the CSF.The spaces function as pathways for the drainage of
interstitial fluid , are in direct connection with thesubpial space , separated by a single layer of pia mater from thesubarachnoid space and are in communication withlymphatic channels of the head and neck, leading to cervicallymph nodes .Appearance
Virchow-Robin spaces appear as punctate or linear
hyperintensities , isodense with cerebrovascular fluid on T2-weighted images, in thecentrum semiovale ,basal ganglia , and thehippocampus .cite journal |author=Maclullich AM, Wardlaw JM, Ferguson KJ, Starr JM, Seckl JR, Deary IJ |title=Enlarged perivascular spaces are associated with cognitive function in healthy elderly men |journal=J. Neurol. Neurosurg. Psychiatr. |volume=75 |issue=11 |pages=1519–23 |year=2004 |month=November |pmid=15489380 |doi=10.1136/jnnp.2003.030858 |url=http://jnnp.bmj.com/cgi/pmidlookup?view=long&pmid=15489380]Clinical significance
While in some people they may be both numerous and widespread throughout the brain and like white matter lesions, Virchow-Robin spaces are not usually present in the brains of healthy young adults. The presence of Virchow-Robin has been associated with multiple diseases.
This space is involved in Perivascular Cuffing seen in
meningoencephalitis &encephalitis where there are infiltrates ofmononuclear cells. [cite book | author=Schneider & Szanto |title=BRS Pathology |edition=3rd Edition |publisher=Lipincott Williams & Wilkins |year=2006]Eponym
Virchow-Robin spaces are also called His' perivascular spaces and perivascular spaces. They are named after
Rudolf Virchow andCharles-Philippe Robin (French anatomist, 1821–1885). [WhoNamedIt|synd|43]References
External links
* http://rad.usuhs.edu/medpix/medpix.html?mode=factoid_images&recnum=1502
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