Swiss Cheese Pattern a Harbinger of Dementia or an Incidental Finding in an Unusual Case?

Abstract

Dilated Virchow Robin (VR) spaces are pial- line fluid filled structures which surround the walls of small penetrating vessels. In a severe form they develop a swiss cheese pattern or a cribriform pattern in straitum which may predispose to cognitive impairment. We report a patient with change in personality associated with diffuse atrophy, hypometabolism, microbleeds and swiss cheese striatum which is rare.

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