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Rete Mirabile in Humans —Case Report—

1997; Japan Neurological Society; Volume: 37; Issue: 2 Linguagem: Inglês

10.2176/nmc.37.188

1349-8029

Jun Karasawa, Hajime Touho, Hideyuki Ohnishi, Masahiko Kawaguchi,

Glaucoma and retinal disorders

Carotid rete mirabile is a physiological vascular network between the external carotid and internal carotid systems present in some vertebrate species, but rarely observed in humans. We describe a 17-year-old girl with rete mirabile who presented with subarachnoid hemorrhage. Angiography disclosed the bilateral internal carotid arteries (ICAs) ended at the cavernous portion, and abnormal arterial networks visualized via the ICAs and the external carotid arteries in the paracavernous region. The distal ICAs were visualized via the abnormal arterial networks. After 18 years of follow-up she is leading a normal life without neurological problems. Rete mirabile in humans may present with hemorrhage or ischemic symptoms, but the prognosis appears to be good.