A pediatric case of carotid rete mirabile

Carotid rete mirabile (CRM) is a physiological network between the external carotid and internal carotid systems in lower mammals. Very rarely, these arterial channels are observed in humans. We describe a 13-year-old girl with CRM who presented with acute hemiplegia after an operation for Dieulafoy...

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Veröffentlicht in:Stroke (1970) 1994-06, Vol.25 (6), p.1268-1270
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description Carotid rete mirabile (CRM) is a physiological network between the external carotid and internal carotid systems in lower mammals. Very rarely, these arterial channels are observed in humans. We describe a 13-year-old girl with CRM who presented with acute hemiplegia after an operation for Dieulafoy's ulcer, a submucosal vascular anomaly of the stomach. Angiogram revealed hypoplasia of the bilateral internal carotid arteries. The abnormal network from the external carotid system was seen around the cavernous portion of the internal carotid arteries. The ophthalmic arteries were developed as the collateral pathway. To our knowledge, this is the first pediatric case reported in the literature. CRM sometimes accompanies intracranial or systemic vascular disorders such as cerebral aneurysm and pseudoxanthoma elasticum. CRM is a unique pathological condition that presents as a hemorrhagic or ischemic cerebrovascular disorder.
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source MEDLINE; American Heart Association; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals; Alma/SFX Local Collection
subjects Adolescent
Biological and medical sciences
Carotid Artery, External - abnormalities
Carotid Artery, Internal - abnormalities
Collateral Circulation
Female
Humans
Maxillary Artery - abnormalities
Medical sciences
Neurology
Ophthalmic Artery - abnormalities
Vascular diseases and vascular malformations of the nervous system
title A pediatric case of carotid rete mirabile
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