„Twig-like-Media“ – eine seltene Fehlbildung intrakranieller Gefäße

Sturm, Dietrich; Froese, Gerhard; Haupt, C; Kitzrow, Martin

doi:10.1007/s00115-019-0722-6

Cited by 1 publication

(1 citation statement)

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“…Diagnosis of rete MCA by CTA/MRA is difficult and may be misdiagnosed as "moyamoya," atherosclerotic stenoocclusive disease, AVM, or as dissection as in this case. 4 Moyamoya disease characteristically affects internal carotid artery terminus with possible involvement of proximal anterior cerebral artery, MCA, and posterior cerebral artery. There is formation of prominent basal collateral giving "puff of smoke" appearance as well as "transdural" collateral from external carotid artery.…”

Section: Discussionmentioning

confidence: 99%

Rete Middle Cerebral Artery Anomaly Presenting with a Large Intracerebral Hemorrhage: A Case Report

Sahu

Bhargava

Sahana

et al. 2021

Journal of Clinical Interventional Radiology ISVIR

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Rete MCA anomaly is extremely rare and has been seldomly discussed in literature. Embryologically MCA develops by fusion of multiple twigs which form a single channel. If there is failure to fuse a plexiform network of vessels persists known as rete MCA. This web like network of vessels is at high risk of haemorrhagic stroke and therefore for patients presenting incidentally correct diagnosis is paramount. Here we report a case of rete MCA anomaly in a 35-year-old gentle man who presented with a large haemorrhagic stroke in emergency. DSA showed unilateral involvement of proximal MCA, and otherwise normal intra-cranial vasculature. With this report we aim to correctly diagnose this rare condition and avoid misdiagnosis leading to unnecessary treatments.

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Section: Discussionmentioning

confidence: 99%