A retrospective comparison of the influence of surgical clipping and endovascular embolization on recovery of oculomotor nerve palsy in patients with posterior communicating artery aneurysms

Neurosurgery
Haibin TanZhenyu Wang

Abstract

Oculomotor nerve palsy (ONP) is a common symptom of posterior communicating artery aneurysms (PcomAAs). Surgical clipping and endovascular embolization are used to treat PcomAAs with ONP. To analyze the impact of these 2 techniques on recovery of ONP caused by PcomAAs. The clinical data for 176 patients with intracranial PcomAAs with ONP admitted to the Department of Neurosurgery, Sichuan Provincial People's Hospital, between June 2008 and May 2013 who undergone surgical clipping or endovascular embolization were studied retrospectively. The 2 treatment groups were compared with respect to age, sex, aneurysm size, levels of hypertension and hyperlipidemia, preadmission ONP duration, subarachnoid hemorrhage (SAH), complete ONP, postoperative recovery time from ONP symptoms, and degree of recovery. The follow-up duration was a minimum of 12 months. Multivariate Cox regression was used for analysis. A total of 132 patients were treated by surgical clipping, and 44 were treated by endovascular embolization. Significant differences were found in postoperative recovery time (83.87 ± 34.70 days for clipping and 137.45 ± 44.94 days for embolization, P < .001) and recovery rates (130 [98.5%] for clipping and 30 [68.2%] for embolization,...Continue Reading

References

Dec 1, 1995·Journal of Neurology, Neurosurgery, and Psychiatry·J V ByrneS A Renowden
May 1, 1996·Surgical Neurology·S LeivoM Vapalahti
Feb 20, 2003·Neurosurgery·Kiyoyuki YanakaTadao Nose
Jul 18, 2003·Lancet·David O WiebersUNKNOWN International Study of Unruptured Intracranial Aneurysms Investigators
Mar 21, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jizong ZhaoWei Lui
Aug 19, 2007·Current Opinion in Ophthalmology·Tammy Yanovitch, Edward Buckley
Feb 15, 2008·AJNR. American Journal of Neuroradiology·M C J HanseM Sluzewski
Jan 6, 2011·Surgical Neurology International·Kiarash GolshaniGavin W Britz
Dec 24, 2011·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·J H Ko, Young-Joon Kim
Mar 31, 2012·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Qian ZhouYugang Jiang

❮ Previous
Next ❯

Citations

May 10, 2015·Acta neurochirurgica·Julien EngelhardtGuillaume Penchet
Jul 1, 2017·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Jonathan A MicieliValérie Biousse
Dec 29, 2018·Somatosensory & Motor Research·Hafiz Khuram RazaGuiyun Cui
Jun 26, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Michelle Kameda-SmithBrian van Adel

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aneurysm

Aneurysms are outward distensions or bulges that occurs in a weakened wall of blood vessels. Discover the latest research on aneurysms here.