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Veselkov A.A.

Burdenko Neurosurgical Center

Gavryushin A.V.

Burdenko Neurosurgical Center

Maryashev S.A.

Burdenko Neurosurgical Center

Pitskhelauri D.I.

Burdenko Neurosurgical Center

Bekhtereva T.L.

Burdenko Neurosurgical Center

Konovalov A.N.

Burdenko Neurosurgical Center

Surgery for enlarged perivascular spaces: primary experience

Authors:

Veselkov A.A., Gavryushin A.V., Maryashev S.A., Pitskhelauri D.I., Bekhtereva T.L., Konovalov A.N.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(2): 23‑28

DOI: 10.17116/neiro20258902123

Read: 1629 times

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Table of contents

SURGERY FOR ENLARGED PERIVASCULAR SPACES: PRIMARY EXPERIENCE
SURGERY FOR ENLARGED PERIVASCULAR SPACES: PRIMARY EXPERIENCE

To cite this article:

Veselkov AA, Gavryushin AV, Maryashev SA, Pitskhelauri DI, Bekhtereva TL, Konovalov AN. Surgery for enlarged perivascular spaces: primary experience. Burdenko's Journal of Neurosurgery. 2025;89(2):23‑28. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20258902123

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

Perivascular spaces are cavities surrounding cerebral and spinal cord vessels and filled with cerebrospinal or intercellular fluid. Abnormal enlargement of these spaces can lead to neurological symptoms. Currently, there are no clear approaches to surgical treatment of this pathology. We set ourselves the task of analyzing the literature data, as well as presenting own clinical observations and sharing the experience of microsurgical treatment of this pathology.

MATERIAL AND METHODS

We reviewed the PubMed databases between 2009 and 2024. We analyzed own small sample (n=5) of patients with dilated perivascular spaces who underwent microsurgical treatment between 2009 and 2024. Four patients underwent microsurgical cystoventriculostomy, one patient — microsurgical cystocysternostomy and biopsy.

RESULTS

Microsurgical cystoventriculostomy and cyst drainage were less effective than expected. Four out of five patients developed new neurological symptoms after surgery, while baseline symptoms did not significantly regress.

CONCLUSION

To date, cerebrospinal fluid shunting is still the main surgical method for dilated perivascular spaces accompanied by intracranial hypertension.

Keywords:

Virchow-Robin spaces
dilated Virchow-Robin spaces
dilated perivascular spaces
surgical treatment of dilated perivascular spaces
pathologically dilated perivascular spaces

Authors:

Veselkov A.A.

Burdenko Neurosurgical Center

Gavryushin A.V.

Burdenko Neurosurgical Center

Maryashev S.A.

Burdenko Neurosurgical Center

Pitskhelauri D.I.

Burdenko Neurosurgical Center

Bekhtereva T.L.

Burdenko Neurosurgical Center

Konovalov A.N.

Burdenko Neurosurgical Center

Received:

20.10.2024

Accepted:

30.01.2025

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