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
Nov 25, 2003·Neurosurgery·Hadas Stiebel-KalishHarry Z Rappaport
Jan 13, 2006·Neurology·J Y AhnJ Y Joo
Mar 21, 2006·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Jizong ZhaoWei Lui
May 26, 2006·Neurosurgery·Peng R ChenRobert F Spetzler
Jun 28, 2006·Neurology·George K C WongW S Poon
Aug 19, 2007·Current Opinion in Ophthalmology·Tammy Yanovitch, Edward Buckley
Feb 15, 2008·AJNR. American Journal of Neuroradiology·M C J HanseM Sluzewski
Feb 26, 2008·AJNR. American Journal of Neuroradiology·W J van Rooij, M Sluzewski
Mar 31, 2009·Lancet Neurology·Andrew J MolyneuxUNKNOWN ISAT Collaborators
Sep 21, 2010·World Neurosurgery·Vijayakumar JavalkarAnil Nanda
Sep 22, 2010·Journal of Korean Neurosurgical Society·Kyoung Hyup NamSang Weon Lee
Jan 6, 2011·Surgical Neurology International·Kiarash GolshaniGavin W Britz
Feb 12, 2011·Neurosurgery·Erdem GüresirHartmut Vatter
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
Oct 9, 2012·AJNR. American Journal of Neuroradiology·N ChalouhiS Tjoumakaris
Jan 10, 2014·Asian Journal of Neurosurgery·S A KhanM L James
Citations
Sep 27, 2015·World Neurosurgery·Thomas GaberelEvelyne Emery
May 10, 2015·Acta neurochirurgica·Julien EngelhardtGuillaume Penchet
Oct 30, 2016·World Neurosurgery·Fumihiro MatanoAkio Morita
Jul 1, 2017·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Jonathan A MicieliValérie Biousse
Sep 8, 2017·Neuroradiology·Qing-Quan ZuSheng Liu
Mar 7, 2020·Journal of Neurointerventional Surgery·Francesco SignorelliSalvatore Chibarro
Dec 29, 2018·Somatosensory & Motor Research·Hafiz Khuram RazaGuiyun Cui
Oct 7, 2018·BMC Neurology·Tao XueZhong Wang
Sep 20, 2020·BMC Neurology·Li-Qiang Tian, Qing-Xi Fu
Sep 10, 2018·Acta neurochirurgica·Lorenzo BertulliThomas Robert
Dec 29, 2020·Frontiers in Neurology·Zhenqing SunJie Wu
Nov 22, 2020·Medicine·Jianwu LiuJianming Zhu
Apr 13, 2021·Neuro-Chirurgie·A S NikovaT Birbilis
May 31, 2021·Clinical Neurology and Neurosurgery·Feng ZhengBoris Krischek
Jun 22, 2021·Brain and Behavior·Zidong WangQingdong Wang
Jun 26, 2021·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Michelle Kameda-SmithBrian van Adel