PT  - JOURNAL ARTICLE
AU  - Prabath Kumar Mondel
AU  - Rashmi Saraf
AU  - Uday S Limaye
TI  - Bilateral carotid and vertebral rete mirabile with vein of Galen aneurysmal malformation: an unreported association
AID  - 10.1136/bcr-2014-011349
DP  - 2014 Nov 20
TA  - BMJ Case Reports
PG  - bcr2014011349
VI  - 2014
4099  - http://casereports.bmj.com/content/2014/bcr-2014-011349.short
4100  - http://casereports.bmj.com/content/2014/bcr-2014-011349.full
AB  - Rete mirabile is a fine meshwork of anastomosing vessels that replace the parent artery. A 30-year-old woman complained of slurring of speech, right eye proptosis, recurrent vomiting, and loss of bladder and bowel control, followed by drowsiness lasting 30–40 min, for the past 6 months. On cross sectional imaging and angiography, the patient was found to have a vein of Galen aneurysmal malformation, with bilateral carotid and vertebral rete mirabile. The patient was offered both endovascular and open surgical options but she refused any form of surgical treatment and opted for conservative management. At the 6 month follow-up, she continued to have occasional episodes of headache and vomiting but was otherwise normal. We describe the clinical, cross sectional, and angiographic features of this patient. A comparison with other patients with bilateral carotid and vertebral rete mirabile is also reported.