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A Special Form of Cerebral Lacunae:Expanding Lacunae
JNNP 61:200-202, Homeyer,P.,et al, 1996
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Article Abstract
The case of a 42 year old man with headache,blurred vision,and diplopia allowed the description of a particular form of cerebral lacunae-that is, expanding lacunae.Brain MRI showed hydrocephalus and multiple lesions in the thalamomesencephalic region.The radiological features of these lesions were similar to the histological brain coronal section of a case reported in 1983 in which dilatation of the perivascular spaces and a focal segmental necrotising angiitis.The role of the lymphatic drainage of the brain is discussed to explain the dilatation of the perivascular spaces. The hypothesis of a hydrodynamic factor being responsible for the expanding character of the lacunae was suggested by the location of the lesions and the influence of various clinical events on the symptomatology.
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lacunar infarction
lacunar infarction,differential diagnosis of
misdiagnosis
MRI
MRI,abnormal
Virchow-Robin spaces,dilated
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