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Neurology  (Expert Forum)
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prominent vircow spaces in a 10 yr old
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prominent vircow spaces in a 10 yr old

by sanju, Sep 28, 2002 12:00AM
my friends son is 9 yrs old normal delievery at term has mental retardation .had an mri report of which read prominent vr spaces for the age of the patient.there were punctate csf  intensity spaces on mr which i believe can also be seen normally in upto 23% cases below 20 yrs age .would this be considerd abnormal and mps be suspected as per the report. the child has microcephaly clinically .

by CCF-Neuro-M.D.-JT, Sep 29, 2002 12:00AM
Although I can't comment on the accuracy of the reading of the MRI as I have not personally reviewed the film, I can explain what Virchow Robin spaces are. They're just enlarged spaces around a blood vessel filled with CSF. That's it. It's a completely normal finding  that we see in totalyl  normal patients all the time. However, in a patient with mental retardation and microcephaly, the radiologist needs to look at those areas showing up on the MRI very carefully and make sure they are indeed virchow robin spaces and not something else. Your friend can always bring the films to a neurologist for a second opinion. Hope that helps.
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