Clipping vs coiling of posterior communicating artery aneurysms with third nerve palsy

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Authors: J. Y. Ahn ; I. B. Han ; P. H. Yoon ; S. H. Kim ; N. K. Kim ; S. Kim ; J. Y. Joo

MeSH: Adult ; Age Factors ; Aged ; Circle of Willis/pathology* ; Circle of Willis/physiopathology ; Circle of Willis/surgery* ; Diabetes Complications/physiopathology ; Early Diagnosis ; Embolization, Therapeutic/instrumentation ; Embolization, Therapeutic/methods ; Female ; Humans ; Intracranial Aneurysm/complications ; Intracranial Aneurysm/physiopathology ; Intracranial Aneurysm/surgery* ; Middle Aged ; Neurosurgical Procedures/instrumentation* ; Neurosurgical Procedures/methods ; Oculomotor Nerve/blood supply ; Oculomotor Nerve/pathology ; Oculomotor Nerve/surgery ; Oculomotor Nerve Diseases/etiology ; Oculomotor Nerve Diseases/physiopathology ; Oculomotor Nerve Diseases/surgery* ; Prognosis ; Prostheses and Implants/standards ; Recovery of Function/physiology ; Surgical Instruments/standards ; Time Factors ; Treatment Outcome ; Vascular Surgical Procedures/instrumentation* ; Vascular Surgical Procedures/methods

Abstract: The authors investigated the evolution of third nerve palsy in patients with posterior communicating artery aneurysms who underwent coiling vs clipping. There was no statistical difference of complete third nerve palsy recovery in both treatments. Both techniques were of clinical benefit. Older age, diabetes, delayed interventions, and complete third nerve palsy at presentation indicated a poor prognosis for recovery.

Appears in Collections:: 1. College of Medicine (의과대학) > Dept. of Neurosurgery (신경외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers

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