Giant Tumefactive Perivascular Spaces: An Unusual Cause of Holmes Tremor.
Giant perivascular spaces
Holmes tremor
Thalamo-peduncular
Tumefactive
Journal
World neurosurgery
ISSN: 1878-8769
Titre abrégé: World Neurosurg
Pays: United States
ID NLM: 101528275
Informations de publication
Date de publication:
Nov 2023
Nov 2023
Historique:
received:
19
05
2023
revised:
10
08
2023
accepted:
11
08
2023
medline:
11
12
2023
pubmed:
24
8
2023
entrez:
23
8
2023
Statut:
ppublish
Résumé
A 34-year-old man presented with a 2-year history of medically refractory Holmes tremor in the right upper limb. Magnetic resonance imaging revealed a large, nonenhancing, multiseptate cystic lesion of cerebrospinal fluid intensity in the left thalamopeduncular region causing brainstem compression and hydrocephalus. A diagnosis of giant tumefactive perivascular spaces was made after a biopsy ruled out an infectious or neoplastic etiology. Significant clinicoradiologic improvement was noted following a ventriculoperitoneal shunt. Giant tumefactive perivascular spaces should be included as one of the rare differentials of a large, nonenhancing cystic lesion situated along the course of perforator vessels. Treatment options include cerebrospinal fluid diversion with or without cyst fenestration.
Identifiants
pubmed: 37611803
pii: S1878-8750(23)01167-1
doi: 10.1016/j.wneu.2023.08.049
pii:
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
66-67Informations de copyright
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