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Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile.
World Neurosurg. 2019 Oct; 130:546-549.WN

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 magnetic resonance imaging and transfemoral cerebral angiography.

CASE DESCRIPTION

This report illustrates the case of a 58-year-old man who presented with vertical diplopia. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed a rete mirabile of SCA and 3-dimensional volume isotropic turbo spin echo acquisition, brain magnetic resonance imaging sequence, demonstrated that the cisternal segment of the ipsilateral trochlear nerve was 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 weeks presence of diplopia, the patient was observed and the 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.

Authors+Show Affiliations

Department of Radiology, Kyung Hee University Hospital at Gangdong, Kyung Hee University College of Medicine, Seoul, Republic of Korea.Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea. Electronic address: bandilee@khu.ac.kr.Department of Neurology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.Department of Radiology, Kyung Hee University College of Medicine, Kyung Hee University Hospital, Seoul, Republic of Korea.

Pub Type(s)

Case Reports
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, vol. 130, 2019, pp. 546-549.
Shin Y, Lee KM, San Lee J, et al. Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile. World Neurosurg. 2019;130:546-549.
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, 130, 546-549. https://doi.org/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;130:546-549. 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/pubmed PY - 2020/1/18/medline PY - 2019/6/11/entrez KW - Rete mirabile KW - Superior cerebellar artery KW - Trochlear nerve palsy SP - 546 EP - 549 JF - World neurosurgery JO - World Neurosurg VL - 130 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 magnetic resonance imaging and transfemoral cerebral angiography. CASE DESCRIPTION: This report illustrates the case of a 58-year-old man who presented with vertical diplopia. Brain magnetic resonance angiography and transfemoral cerebral angiography revealed a rete mirabile of SCA and 3-dimensional volume isotropic turbo spin echo acquisition, brain magnetic resonance imaging sequence, demonstrated that the cisternal segment of the ipsilateral trochlear nerve was 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 weeks presence of diplopia, the patient was observed and the 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 -