Hi there. I haven't heard of Virchow-Robin space before, but I wanted to let you know that although I have lesions on my brain, I also have them along my spine and at the base of my neck. You may want to ask your Dr if he/she thinks an MRI of your spine would be a good idea. Also, did you get the MRI with the dye? Sometimes lesions show up better with the dye and the techs can see some they couldn't see without it. Good luck!!!

I am very interested in what you write. I will search article about them too now. I had only run into them when I was reading a book on MRI's.I thought they had something to do with high blood pressure....In my book on MRI's " Note Vischow-Robbin spaces are periventricle spaces that surround small arteries and arteroles as the perforate the surface of the brain and extend into brain tissue. The CFS-containing structures may dilate and mimic MS lesions"


And here is a sight on MRI's that show VR spaces about a thirs of the way down...
http://www.radiologyassistant.nl/en/4556dea65db62#a459d384a76b0b

Now that I am looking at them, because of your post I see many on my MRI that was rather frightening to see...especially widening of the sculsi....I'm gonna have to read about them some more!!

But the biggest thing it is making me think about is the CCVI(Liberation Treatment). I'm one of the biggest doubters on that treatment. But within a few days things like this have crossed my path to make me think that MS might reallyy be caused by vascular issues?

I'm gonna have to spend some time looking at my MRI again with this in mind. Thank you for bringing it up & please let me know what you have found on VR spaces. No one told me I had them, it wasn't written on the written report of my MRI but if that is what causes widening of the sculsi, I think it is on my MRI.


Sight that shows VR spaces on MRI...about a third of the way down...
http://www.radiologyassistant.nl/en/4556dea65db62#a459d384a76b0b

And an interesting article on the CCVI procedure that has me thinking about it the last few days....and not as a doubting thomas this time. It might be really real.

http://autoimmunedisease.suite101.com/article.cfm/chronic_cerebrospinal_venous_insufficiency_in_ms

so far my mris only show lesions on the brain and they are small and few, however i have the most trouble with my legs which usually indicates that a person would have lesions on their neck or spine, but so far none of that has shown up .. ive even heard that lesions can be too small to detect or could be hidden behind the spine?

carolinaq, I thought that too. Especially with regard to drop foot, it had to be in the spine. Then someone here set me straight. He has drop foot in one foot...well lateral symptoms are a dead give away for brain lesions. And he had no spine lesion, all in his brain. Then he explained the motor cortex where his lesion were. You may not have sine lesions you may have brain lesions in the motor cortex.

Here is a sight on it, showing where it is. Using your legs requires commands all the way front the front part ofyour brain through the spine. So you may not show spine lesions because you don't have them but your brain lesions could be in the motor cortex. Which is par of the pyrimidryl tract, starting in the front brain, through the back brain, brainstem & spine.

pyramidal tract
n.
A major pathway of the central nervous system, originating in the sensorimotor areas of the cerebral cortex and generally descending through the brain stem to the spinal cord. The fibers of the pyramidal tract transmit motor impulses that function in the control of voluntary movement.

http://www.thefreedictionary.com/pyramidal+tract

http://www.newmanveterinary.com/CerebralCortex.html

http://pathology.mc.duke.edu/neuropath/nawr/motor-systems.html

Hi Carolina,

It's true that some lesions can be very hard to see, and can be missed by the techs who look at the MRI's and write the reports. Plus, the techs look at the MRI's in one way, and MS Dr's look at them in another way. It's best to try and get copies of your actual films sent to your Dr every time you have an MRI.

Also, the MRI is a picture of that moment of the activity in your brain. And lesions can shrink and even completley heal up and go away. So if you have a lesions say on your spine that causes walking problems, there is always the possibility that when you get the MRI, it could have healed and gone away by then.

My MS Dr. told me yesterday that he looks for black holes, too. I guess the techs don't look for those or report them, so that is another reason it is good to get your films to your Dr if you can. Black holes are like cavities in your brain. They are little spots that are actual holes where some of the MS damages has been bad enough that it has, in effect, eating away a little hole in your brain.

I know it sounds scary, my first thought was "I have a brain eating disease! I'm going to become a zombie!" :) But it's actually not as bad as it sounds and they are usually extremely miniscule.

Hope this helps some! :)