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Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile.

Abstract

BACKGROUND

Rete mirabile is a very rare vascular malformation and superior cerebellar artery (SCA) rete mirabile is not reported previously. We report a new case of rete mirabile of SCA initially detected by MRI and transfemoral cerebral angiography (TFCA).

CASE DESCRIPTION

This report illustrates the case of a 58-year-old man who presented with vertical diplopia. Brain MRA and TFCA revealed a rete mirabile of SCA and 3Dimensional Volume Isotropic Turbo Spin Echo Acquisition (3D VISTA), brain MRI sequence, demonstrated that the cisternal segment of the ipsilateral trochlear nerve compressed by this vascular malformation. We assumed that his cranial nerve palsy was caused by the rete mirabile of the right SCA. During the 8-week, the patient was observed and symptom was relieved spontaneously.

CONCLUSIONS

We provide a first report in the literature of rete mirabile involving the SCA and suggest a descriptive knowledge of rete mirabile for clinicians during decision making of treatment.

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  • Authors+Show Affiliations

    ,

    Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, #892 Dongnam-ro, Gangdong-gu, Seoul, Republic of Korea.

    ,

    Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea. Electronic address: bandilee@khu.ac.kr.

    ,

    Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea.

    ,

    Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea.

    ,

    Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea.

    Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, 23 Kyungheedae-ro, Dongdaemun-gu, Seoul, Republic of Korea.

    Source

    World neurosurgery : 2019 Jun 07 pg

    Pub Type(s)

    Journal Article

    Language

    eng

    PubMed ID

    31181360

    Citation

    Shin, Yeji, et al. "Isolated Trochlear Nerve Palsy in a Patient With Superior Cerebellar Rete Mirabile." World Neurosurgery, 2019.
    Shin Y, Lee KM, San Lee J, et al. Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile. World Neurosurg. 2019.
    Shin, Y., Lee, K. M., San Lee, J., Kim, E. J., Kim, H. G., & Yeon, E. K. (2019). Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile. World Neurosurgery, doi:10.1016/j.wneu.2019.05.244.
    Shin Y, et al. Isolated Trochlear Nerve Palsy in a Patient With Superior Cerebellar Rete Mirabile. World Neurosurg. 2019 Jun 7; PubMed PMID: 31181360.
    * Article titles in AMA citation format should be in sentence-case
    TY - JOUR T1 - Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile. AU - Shin,Yeji, AU - Lee,Kyung Mi, AU - San Lee,Jin, AU - Kim,Eui Jong, AU - Kim,Hyug Gi, AU - Yeon,Eung Koo, Y1 - 2019/06/07/ PY - 2019/03/25/received PY - 2019/05/29/revised PY - 2019/05/29/accepted PY - 2019/6/11/entrez PY - 2019/6/11/pubmed PY - 2019/6/11/medline KW - Rete mirabile KW - Superior cerebellar artery KW - Trochlear nerve palsy JF - World neurosurgery JO - World Neurosurg N2 - BACKGROUND: Rete mirabile is a very rare vascular malformation and superior cerebellar artery (SCA) rete mirabile is not reported previously. We report a new case of rete mirabile of SCA initially detected by MRI and transfemoral cerebral angiography (TFCA). CASE DESCRIPTION: This report illustrates the case of a 58-year-old man who presented with vertical diplopia. Brain MRA and TFCA revealed a rete mirabile of SCA and 3Dimensional Volume Isotropic Turbo Spin Echo Acquisition (3D VISTA), brain MRI sequence, demonstrated that the cisternal segment of the ipsilateral trochlear nerve compressed by this vascular malformation. We assumed that his cranial nerve palsy was caused by the rete mirabile of the right SCA. During the 8-week, the patient was observed and symptom was relieved spontaneously. CONCLUSIONS: We provide a first report in the literature of rete mirabile involving the SCA and suggest a descriptive knowledge of rete mirabile for clinicians during decision making of treatment. SN - 1878-8769 UR - https://www.unboundmedicine.com/medline/citation/31181360/Isolated_Trochlear_Nerve_Palsy_in_a_Patient_with_Superior_Cerebellar_Rete_Mirabile L2 - https://linkinghub.elsevier.com/retrieve/pii/S1878-8750(19)31521-9 DB - PRIME DP - Unbound Medicine ER -