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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Mondel, Prabath Kumar Saraf, Rashmi Limaye, Uday S. |
| Description | Author Affiliation: Mondel PK ( Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.); Saraf R ( Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.); Limaye US ( Department of Interventional Neuroradiology, Seth G. S. Medical College and K. E. M. Hospital, Mumbai, Maharashtra, India.) |
| Abstract | A rete mirabile is a vascular network of intercommunicating small arteries or arterioles that replace the definitive adult artery supplying the brain. It supplies the brain in lower mammals but is not seen in normal human embryological development. A 26-year-old man presented with worsening tinnitus that was interfering with his sleep. On CT and digital subtraction angiography he was found to have a temporal lobe pial arteriovenous fistula with bilateral carotid and vertebral rete mirabile. The patient was offered open surgical and endovascular treatment options for pial arteriovenous fistula but he refused both and opted for conservative medical management. At 6-month follow-up he continued to have pulsatile tinnitus but was otherwise neurologically normal. We present the first described association of rete mirabile with pial arteriovenous fistula and discuss its clinical presentation and imaging features, with a review of the literature for bilateral carotid and vertebral rete mirabile. |
| Volume Number | 2017 |
| e-ISSN | 1757790X |
| Journal | BMJ Case Reports |
| Language | English |
| Publisher | BMJ Publishing Group Ltd. |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Arteriovenous Fistula Carotid Artery, Internal Abnormalities Cerebral Arteries Cerebral Veins Intracranial Arteriovenous Malformations Vertebral Artery Adult Angiography, Digital Subtraction Humans Male Ultrasonography, Doppler Case Reports Journal Article Review Multidisciplinary |
| Content Type | Text |
| Resource Type | Article |
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