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
Hauptverfasser: Shin, Yeji, Lee, Kyung Mi, San Lee, Jin, Kim, Eui Jong, Kim, Hyug-Gi, Yeon, Eung Koo
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container_end_page 549
container_issue
container_start_page 546
container_title World neurosurgery
container_volume 130
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.
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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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