Comparison of surgical clipping and endovascular coiling in the treatment of oculomotor nerve palsy caused by posterior communicating artery aneurysm

Medicine
Jianwu LiuJianming Zhu

Abstract

Oculomotor nerve palsy (ONP) caused by posterior communicating aneurysm (PcomAA) is mainly treated by surgical clipping or endovascular coiling. However, there are still some controversies about which treatment method could provide the more beneficial prognosis. This study aimed to compare ONP recovery rate between surgical clipping and endovascular coiling in patients diagnosed as PcomAA combined with ONP, and explore the potential risk factors of ONP recovery.The clinical data of 152 patients with ONP caused by PcomAA were retrospectively analyzed. Diameter of aneurysm, different treatment methods (surgical clipping or endovascular coiling), subarachnoid hemorrhage (SAH), degree of preoperative ONP, time from ONP onset to treatment, as well as degree of ONP symptom recovery were collected from medical records. All patients were followed up for at least 1 year.One hundred twelve patients underwent surgical clipping and 40 patients received endovascular coiling. There were no significant differences in age, gender, aneurysm diameter, hypertension, dyslipidemia, time from ONP symptom onset to treatment, SAH, and preoperative ONP degree between the 2 groups (all P > .05). Time to complete or partial recovery was 86.7 ± 35.7 days ...Continue Reading

References

Apr 9, 2002·Journal of Neuro-ophthalmology : the Official Journal of the North American Neuro-Ophthalmology Society·Joji InamasuKiyoshi Ichikizaki
Jun 29, 2007·Surgical Neurology·Nassir MansourCiaran Bolger
Aug 19, 2007·Current Opinion in Ophthalmology·Tammy Yanovitch, Edward Buckley
Feb 15, 2008·AJNR. American Journal of Neuroradiology·M C J HanseM Sluzewski
Sep 30, 2000·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·N MavilioM Rosa
Jan 6, 2011·Surgical Neurology International·Kiarash GolshaniGavin W Britz
Feb 14, 2013·Primary Care·Robert H Nelson
Nov 12, 2013·British Journal of Neurosurgery·Krunal PatelRikin A Trivedi
Aug 30, 2014·Journal of Neurosurgery·E Sander Connolly
May 28, 2015·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Mark John SheehanAlan O'Hare
Nov 21, 2018·Journal of Clinical Neuroscience : Official Journal of the Neurosurgical Society of Australasia·Weiying ZhongYunyan Wang
Jul 20, 2019·World Neurosurgery·Pavlos TexakalidisPascal Jabbour

❮ 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.