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Rete mirabile associated with pial arteriovenous fistula: imaging features with literature review.
BMJ Case Rep 2017; 2017BC

Abstract

A rete mirabile is a vascular network of intercommunicating small arteries or arterioles that replace the definitive adult artery supplying the brain. It supplies the brain in lower mammals but is not seen in normal human embryological development. A 26-year-old man presented with worsening tinnitus that was interfering with his sleep. On CT and digital subtraction angiography he was found to have a temporal lobe pial arteriovenous fistula with bilateral carotid and vertebral rete mirabile. The patient was offered open surgical and endovascular treatment options for pial arteriovenous fistula but he refused both and opted for conservative medical management. At 6-month follow-up he continued to have pulsatile tinnitus but was otherwise neurologically normal. We present the first described association of rete mirabile with pial arteriovenous fistula and discuss its clinical presentation and imaging features, with a review of the literature for bilateral carotid and vertebral rete mirabile.

Authors+Show Affiliations

Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.

Pub Type(s)

Case Reports
Journal Article
Review

Language

eng

PubMed ID

28209646

Citation

Mondel, Prabath Kumar, et al. "Rete Mirabile Associated With Pial Arteriovenous Fistula: Imaging Features With Literature Review." BMJ Case Reports, vol. 2017, 2017.
Mondel PK, Saraf R, Limaye US. Rete mirabile associated with pial arteriovenous fistula: imaging features with literature review. BMJ Case Rep. 2017;2017.
Mondel, P. K., Saraf, R., & Limaye, U. S. (2017). Rete mirabile associated with pial arteriovenous fistula: imaging features with literature review. BMJ Case Reports, 2017, doi:10.1136/bcr-2016-012939.
Mondel PK, Saraf R, Limaye US. Rete Mirabile Associated With Pial Arteriovenous Fistula: Imaging Features With Literature Review. BMJ Case Rep. 2017 Feb 16;2017 PubMed PMID: 28209646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Rete mirabile associated with pial arteriovenous fistula: imaging features with literature review. AU - Mondel,Prabath Kumar, AU - Saraf,Rashmi, AU - Limaye,Uday S, Y1 - 2017/02/16/ PY - 2017/2/18/entrez PY - 2017/2/18/pubmed PY - 2017/3/11/medline KW - Angiography KW - Arteriovenous Malformation KW - Congenital KW - Fistula JF - BMJ case reports JO - BMJ Case Rep VL - 2017 N2 - A rete mirabile is a vascular network of intercommunicating small arteries or arterioles that replace the definitive adult artery supplying the brain. It supplies the brain in lower mammals but is not seen in normal human embryological development. A 26-year-old man presented with worsening tinnitus that was interfering with his sleep. On CT and digital subtraction angiography he was found to have a temporal lobe pial arteriovenous fistula with bilateral carotid and vertebral rete mirabile. The patient was offered open surgical and endovascular treatment options for pial arteriovenous fistula but he refused both and opted for conservative medical management. At 6-month follow-up he continued to have pulsatile tinnitus but was otherwise neurologically normal. We present the first described association of rete mirabile with pial arteriovenous fistula and discuss its clinical presentation and imaging features, with a review of the literature for bilateral carotid and vertebral rete mirabile. SN - 1757-790X UR - https://www.unboundmedicine.com/medline/citation/28209646/Rete_mirabile_associated_with_pial_arteriovenous_fistula:_imaging_features_with_literature_review_ L2 - https://casereports.bmj.com/cgi/pmidlookup?view=long&pmid=28209646 DB - PRIME DP - Unbound Medicine ER -