Question 1

could a dilated perivascular space shown on mri be a marker for ms? the size is same since 2010.

Accepted Answer

No: Dilated perivascular space is not a typical finding on MRI for ms. Subcortical "white" matter plaques are the classic findings. Moreover, the lack of change over time is reassuring. Sometime a lumbar puncture with appropriate testing can be helpful in making the diagnosis.

Question 2

superficial left pontine tegmentum tiny 3 mm t2 hyperintensity in keeping with a perivascular space on mri. could this be from a stroke?

Accepted Answer

Stroke : Not to worry. Perivascular spaces (Virchow-Robin spaces) are normal and not caused by a stroke. They can occur throughout the brain. The perivascular spaces vary in size (up to 5 mm) and are associated with arteries in the brain.

Question 3

i had a recent mri for headaches and muscle spasms.  it was normal except for 7mm prominent perivascular space.  is this something to worry about?

Accepted Answer

MRI result: Your ordering physician should sit down with the radiologist who interpreted your test and get a differential diagnosis or suggestions whether further studies, repeat MRI in the future or referral to a neurologist or neurosurgeon would be the next step.

Question 4

i had a ct scan today. the results say i have a perivascular space on base of brain, on the right. what does this mean? thank you.

Accepted Answer

Means you check out: It's a benign finding and in fact quite normal in the majority of people.

Question 5

what does this mean: single punctate perivascular space versus neural glial cyst in white matter of the right frontal lobe near the vertex.

Accepted Answer

Collaboration: This is a case of your neurologist or neurosurgeon would sit down with radiologist who interpreted your study. The radiologist may or may not recommend further imaging studies to shed more light on the significance of this finding while the neurologist or neurosurgeon would decide whether this lesion must be treated.

Question 6

if i have a normal variant prominent perivascular space deep in my temporal lobe on a brain mri, is it likely to evolve to being enlarged? what causes this to happen, and can it be a sign of an underlying issue, especially with memory issues?

Accepted Answer

: It wouldn’t cause Memory loss

Question 7

enlarged perivascular space in basal ganglia. is by any cranial nerves? double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

Accepted Answer

Neurologic issues: None of what you describe is normal. I would suggest that you seek the opinion of both the Neurologist and the Neurosurgeon and possibly the Interventional Neuroradiologist.

Question 8

is a normal variant prominent perivascular space on a bran mri normal with neuro symptoms (memory loss, numb patch on back, arms/legs/fingers jerking, fasciculations, feet and hands tingling, hyperreflexia, positive romberg sign, losing balance)?

Accepted Answer

: The presence of the "perivascular space" has no relationship to your myriad symptoms, and these issues need full evaluation by an experienced neurologist.

Question 9

brain mri: there're prominent perivascular spaces in both parietal central white matter and virchow robin spaces of distended csf signal intensity in the right parietal centrum semiovale. is this normal?

Accepted Answer

: Hard to be precise regarding clinical correlation as some interpretations raise concerns of vascular atherosclerotic risks.  I think the jury remains "out" in terms of any true significance.  Get the radiologist's and your doctors opinions, as there may be clinical correlative issues.

Question 10

please tell me if you can get a cavity filled if you have spacers?

Accepted Answer

Yes: It is important to have all of your needed dental work, fillings, treated before you start the  braces.  Once braces are on it is much more difficult to treat decay.

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Doctor answers about:

Virchow robin perivascular space

A member asked:

Could a dilated perivascular space shown on mri be a marker for ms? the size is same since 2010.

A member asked:

Superficial left pontine tegmentum tiny 3 mm t2 hyperintensity in keeping with a perivascular space on mri. could this be from a stroke?

A member asked:

I had a recent mri for headaches and muscle spasms. it was normal except for 7mm prominent perivascular space. is this something to worry about?

A member asked:

I had a ct scan today. the results say i have a perivascular space on base of brain, on the right. what does this mean? thank you.

A member asked:

What does this mean: single punctate perivascular space versus neural glial cyst in white matter of the right frontal lobe near the vertex.

A member asked:

If i have a normal variant prominent perivascular space deep in my temporal lobe on a brain mri, is it likely to evolve to being enlarged? what causes this to happen, and can it be a sign of an underlying issue, especially with memory issues?

A member asked:

Enlarged perivascular space in basal ganglia. is by any cranial nerves? double vision, enlarged pupils, trigeminal neuralgia, pulsating tinnitus

A member asked:

Is a normal variant prominent perivascular space on a bran mri normal with neuro symptoms (memory loss, numb patch on back, arms/legs/fingers jerking, fasciculations, feet and hands tingling, hyperreflexia, positive romberg sign, losing balance)?

A member asked:

Brain mri: there're prominent perivascular spaces in both parietal central white matter and virchow robin spaces of distended csf signal intensity in the right parietal centrum semiovale. is this normal?

A member asked:

Please tell me if you can get a cavity filled if you have spacers?

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