Carotid Rete Mirabile Associated with Subarachnoid Hemorrhage from Intracranial Aneurysm: A Case Report and Systematic Review

Overview

Journal Interv Neuroradiol

Publisher Sage Publications

Specialty Neurology

Date 2015 May 3

PMID 25934776

Citations 9

Authors

Eric Homero Albuquerque Paschoal

Vitor Nagai Yamaki

Fernando Mendes Paschoal Junior

Ronie Leo Piske

Manoel Jacobsen Teixeira

Edson Bor-Seng-Shu

Affiliations

Soon will be listed here.

Abstract

Carotid rete mirabile (CRM) is a rare physiological vascular network in humans that is most often found in Eastern populations. This paper describes a CRM associated with an aneurysmal subarachnoid hemorrhage (aSAH) and discusses the details of the patient's treatment. A 28-year-old woman was admitted to our service with clinical signs and symptoms of a spontaneous aSAH. Computed tomography revealed a diffuse and extensive SAH (Fisher group IV), while an angiogram showed an abnormal collateral network in the right carotid system and a hypoplastic aspect to the internal carotid artery (ICA) on the same side. In addition, a saccular aneurysm with a diameter of 9.5 mm was present in the ophthalmic segment of the left ICA. This case is extremely uncommon. To avoid rebleeding in the patient, we successfully treated the patient by clipping the aneurysmal lesion. No procedure was performed for the CRM.

Citing Articles

Development of Collateral Vessels after Anterior Circulation Large Vessel Occlusion in Pediatric Arterial Ischemic Stroke Relates to Stroke Etiology: A Longitudinal Study.

Kossorotoff M, Grevent D, Roux C, Brunelle F AJNR Am J Neuroradiol. 2024; 45(3):271-276.

PMID: 38388687 PMC: 11286107. DOI: 10.3174/ajnr.A8114.

Coexistence of anterior choroidal artery and posterior cerebral artery retia mirabilia presenting with subarachnoid hemorrhage: illustrative case.

Yamaguchi I, Kanematsu Y, Shimada K, Korai M, Miyake K, Sogabe S J Neurosurg Case Lessons. 2024; 7(1).

PMID: 38163352 PMC: 10763634. DOI: 10.3171/CASE23580.

Developed Collateral Networks between the Internal Carotid Artery and External Carotid Artery: Carotid Rete Mirabile.

Ando M, Maki Y, Ishibashi R J Neuroendovasc Ther. 2023; 17(3):93-95.

PMID: 37502351 PMC: 10370507. DOI: 10.5797/jnet.ai.2022-0063.

Cerebrovascular disorders associated with agenesis of the internal carotid artery: Findings on digital subtraction angiography.

Xu X, Shen H, Ma H, Zhang X, Zhang L, Li Q Front Surg. 2022; 9:953697.

PMID: 36420405 PMC: 9676253. DOI: 10.3389/fsurg.2022.953697.

Lethal subarachnoid haemorrhage in a patient with rete mirabile network of the posterior circulation with associated aneurysm.

Matsoukas S, Fifi J, Shigematsu T BMJ Case Rep. 2022; 15(2).

PMID: 35217549 PMC: 8883206. DOI: 10.1136/bcr-2021-245010.

References

Sahin H, Cinar C, Oran I . Carotid and vertebrobasilar rete mirabile: a case report. Surg Radiol Anat. 2009; 32(2):95-8. DOI: 10.1007/s00276-009-0531-x. View

FUWA I . A pediatric case of carotid rete mirabile. Stroke. 1994; 25(6):1268-70. DOI: 10.1161/01.str.25.6.1268. View

Hawkins T, Scott W . Bilateral rete carotidis in man. Clin Radiol. 1967; 18(2):163-5. DOI: 10.1016/s0009-9260(67)80011-4. View

Hately W, Shapiro R . Carotid rete mirabile--an unusual example associated with diffuse bilateral cerebral telangiectasia. Clin Radiol. 1970; 21(1):32-5. DOI: 10.1016/s0009-9260(70)80134-9. View

Karasawa J, Touho H, Ohnishi H, Kawaguchi M . Rete mirabile in humans--case report. Neurol Med Chir (Tokyo). 1997; 37(2):188-92. DOI: 10.2176/nmc.37.188. View

Kim M, Lee S, Lee C, Park H . Bilateral segmental absence of the internal carotid artery with rete compensation associated with absence of basilar artery: case report. Surg Neurol. 2006; 65(6):615-9. DOI: 10.1016/j.surneu.2005.07.072. View

Del Zotto E, Ritelli M, Pezzini A, Drera B, Gamba M, Giossi A . Clinical, neuroradiological and molecular features of a patient affected by pseudoxhantoma elasticum associated to carotid rete mirabile: case report. Clin Neurol Neurosurg. 2012; 114(6):758-61. DOI: 10.1016/j.clineuro.2011.12.031. View

Hong J, Lee J, Yong S . Neurological picture. Asymtomatic rete mirabile in carotid and vertebral circulation systems. J Neurol Neurosurg Psychiatry. 2010; 81(9):1022-3. DOI: 10.1136/jnnp.2009.178368. View

Stern J, Whelan M, Brisman R, CORRELL J . Management of extracranial carotid stenosis and intracranial aneurysms. J Neurosurg. 1979; 51(2):147-50. DOI: 10.3171/jns.1979.51.2.0147. View

10.

Koo A, Newton T . Pseudoxanthoma elasticum associated with carotid rete mirabile. Case report. Am J Roentgenol Radium Ther Nucl Med. 1972; 116(1):16-22. DOI: 10.2214/ajr.116.1.16. View

11.

Fukuta K, Kudo H, Sasaki M, Kimura J, bin Ismail D, Endo H . Absence of carotid rete mirabile in small tropical ruminants: implications for the evolution of the arterial system in artiodactyls. J Anat. 2007; 210(1):112-6. PMC: 2100259. DOI: 10.1111/j.1469-7580.2006.00667.x. View

12.

Minagi H, Newton T . Carotid rete mirabile in man. A case report. Radiology. 1966; 86(1):100-2. DOI: 10.1148/86.1.100. View

13.

Nakaoka T, Kanma H, Matsuura H . [A case of rete mirabile with congenital dysplasia of bilateral internal carotid arteries]. No Shinkei Geka. 2000; 28(2):161-6. View

14.

McLaughlin N, McArthur D, Martin N . Use of stent-assisted coil embolization for the treatment of wide-necked aneurysms: A systematic review. Surg Neurol Int. 2013; 4:43. PMC: 3622357. DOI: 10.4103/2152-7806.109810. View

15.

Herwadkar A . A case of carotid rete mirabile associated with basilar tip aneurysm. Interv Neuroradiol. 2010; 12(2):161-4. PMC: 3354522. DOI: 10.1177/159101990601200211. View

16.

Vasseur M, Carsin-Nicol B, Ebran J, Willoteaux S, Martin L, Leftheriotis G . Carotid rete mirabile and pseudoxanthoma elasticum: an accidental association?. Eur J Vasc Endovasc Surg. 2011; 42(3):292-4. DOI: 10.1016/j.ejvs.2011.05.007. View

17.

Ito M, Sato K, Tsuji O, Wachi A, Naito S . Multiple aneurysms associated with bilateral carotid occlusion and venous angioma: surgical management risk-case report. J Clin Neurosci. 1994; 1(1):62-8. DOI: 10.1016/0967-5868(94)90013-2. View

18.

Lee S, Cha S . Bilateral carotid and vertebral rete mirabile presenting with a prominent anterior spinal artery mimicking a spinal dural AV fistula at MRI. Korean J Radiol. 2011; 12(6):740-4. PMC: 3194779. DOI: 10.3348/kjr.2011.12.6.740. View

19.

Castro S, Abreu P, Azevedo E, Silva M . A new pattern of arterial rete compensation of segmental basilar agenesis associated with carotid retia mirabilia: a case report (2010: 1b). Eur Radiol. 2010; 20(4):1024-8. DOI: 10.1007/s00330-009-1491-6. View

20.

Mahadevan J, Batista L, Alvarez H, Bravo-Castro E, Lasjaunias P . Bilateral segmental regression of the carotid and vertebral arteries with rete compensation in a Western patient. Neuroradiology. 2004; 46(6):444-9. DOI: 10.1007/s00234-003-1086-x. View