Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile
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. This report illustrates the case of a...
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Veröffentlicht in: | World neurosurgery 2019-10, Vol.130, p.546-549 |
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creator | Shin, Yeji Lee, Kyung Mi San Lee, Jin Kim, Eui Jong Kim, Hyug-Gi Yeon, Eung Koo |
description | 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.
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.
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. |
doi_str_mv | 10.1016/j.wneu.2019.05.244 |
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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.
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.</description><identifier>ISSN: 1878-8750</identifier><identifier>EISSN: 1878-8769</identifier><identifier>DOI: 10.1016/j.wneu.2019.05.244</identifier><identifier>PMID: 31181360</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Cerebellum - blood supply ; Cerebellum - diagnostic imaging ; Cerebellum - pathology ; Cerebrovascular Disorders - complications ; Cerebrovascular Disorders - diagnosis ; Cerebrovascular Disorders - pathology ; Humans ; Male ; Middle Aged ; Rete mirabile ; Superior cerebellar artery ; Trochlear Nerve Diseases - etiology ; Trochlear nerve palsy</subject><ispartof>World neurosurgery, 2019-10, Vol.130, p.546-549</ispartof><rights>2019</rights><rights>Copyright © 2019. Published by Elsevier Inc.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c271t-38d37a362c45db10311592d910ebec00df85f90b542ea32077b4cbefccf831523</citedby><cites>FETCH-LOGICAL-c271t-38d37a362c45db10311592d910ebec00df85f90b542ea32077b4cbefccf831523</cites><orcidid>0000-0001-7965-0118 ; 0000-0003-2183-8657 ; 0000-0003-3424-0208</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://www.sciencedirect.com/science/article/pii/S1878875019315219$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,776,780,3537,27901,27902,65306</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31181360$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shin, Yeji</creatorcontrib><creatorcontrib>Lee, Kyung Mi</creatorcontrib><creatorcontrib>San Lee, Jin</creatorcontrib><creatorcontrib>Kim, Eui Jong</creatorcontrib><creatorcontrib>Kim, Hyug-Gi</creatorcontrib><creatorcontrib>Yeon, Eung Koo</creatorcontrib><title>Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile</title><title>World neurosurgery</title><addtitle>World Neurosurg</addtitle><description>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.
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.
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.</description><subject>Cerebellum - blood supply</subject><subject>Cerebellum - diagnostic imaging</subject><subject>Cerebellum - pathology</subject><subject>Cerebrovascular Disorders - complications</subject><subject>Cerebrovascular Disorders - diagnosis</subject><subject>Cerebrovascular Disorders - pathology</subject><subject>Humans</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Rete mirabile</subject><subject>Superior cerebellar artery</subject><subject>Trochlear Nerve Diseases - etiology</subject><subject>Trochlear nerve palsy</subject><issn>1878-8750</issn><issn>1878-8769</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kEtPwzAQhC0Eoqj0D3BAPnJp8CNOHIkLqnhUKg-VcrYcZ6O6SpNiJ63673HU0iN72T3MjGY_hG4oiSihyf0q2tXQRYzQLCIiYnF8hq6oTOVYpkl2froFGaCR9ysShtNYpvwSDTilkvKEXKH51DeVbqHAC9eYZQXa4XdwW8CfuvJ7bGusw9laqFu8s-0Sf3UbcLZxeAIOcqiq4JhDC_jNOp3bCq7RRRm8MDruIfp-flpMXsezj5fp5HE2Niyl7ZjLgqeaJ8zEoshpKEdFxoqMkpBqCClKKcqM5CJmoDkjaZrHJofSmFJyKhgfortD7sY1Px34Vq2tN32hGprOK8YSKdI4oSJI2UFqXOO9g1JtnF1rt1eUqB6nWqkep-pxKiJUwBlMt8f8Ll9DcbL8wQuCh4MAwpdbC055EzgZKKwD06qisf_l_wItHIWk</recordid><startdate>201910</startdate><enddate>201910</enddate><creator>Shin, Yeji</creator><creator>Lee, Kyung Mi</creator><creator>San Lee, Jin</creator><creator>Kim, Eui Jong</creator><creator>Kim, Hyug-Gi</creator><creator>Yeon, Eung Koo</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-7965-0118</orcidid><orcidid>https://orcid.org/0000-0003-2183-8657</orcidid><orcidid>https://orcid.org/0000-0003-3424-0208</orcidid></search><sort><creationdate>201910</creationdate><title>Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile</title><author>Shin, Yeji ; Lee, Kyung Mi ; San Lee, Jin ; Kim, Eui Jong ; Kim, Hyug-Gi ; Yeon, Eung Koo</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c271t-38d37a362c45db10311592d910ebec00df85f90b542ea32077b4cbefccf831523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Cerebellum - blood supply</topic><topic>Cerebellum - diagnostic imaging</topic><topic>Cerebellum - pathology</topic><topic>Cerebrovascular Disorders - complications</topic><topic>Cerebrovascular Disorders - diagnosis</topic><topic>Cerebrovascular Disorders - pathology</topic><topic>Humans</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Rete mirabile</topic><topic>Superior cerebellar artery</topic><topic>Trochlear Nerve Diseases - etiology</topic><topic>Trochlear nerve palsy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shin, Yeji</creatorcontrib><creatorcontrib>Lee, Kyung Mi</creatorcontrib><creatorcontrib>San Lee, Jin</creatorcontrib><creatorcontrib>Kim, Eui Jong</creatorcontrib><creatorcontrib>Kim, Hyug-Gi</creatorcontrib><creatorcontrib>Yeon, Eung Koo</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>World neurosurgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shin, Yeji</au><au>Lee, Kyung Mi</au><au>San Lee, Jin</au><au>Kim, Eui Jong</au><au>Kim, Hyug-Gi</au><au>Yeon, Eung Koo</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile</atitle><jtitle>World neurosurgery</jtitle><addtitle>World Neurosurg</addtitle><date>2019-10</date><risdate>2019</risdate><volume>130</volume><spage>546</spage><epage>549</epage><pages>546-549</pages><issn>1878-8750</issn><eissn>1878-8769</eissn><abstract>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.
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.
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subjects | Cerebellum - blood supply Cerebellum - diagnostic imaging Cerebellum - pathology Cerebrovascular Disorders - complications Cerebrovascular Disorders - diagnosis Cerebrovascular Disorders - pathology Humans Male Middle Aged Rete mirabile Superior cerebellar artery Trochlear Nerve Diseases - etiology Trochlear nerve palsy |
title | Isolated Trochlear Nerve Palsy in a Patient with Superior Cerebellar Rete Mirabile |
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