Recovery of oculomotor nerve palsy after endovascular management of posterior communicating artery aneurysms
SA Journal of Radiology
| Field | Value | |
| Title | Recovery of oculomotor nerve palsy after endovascular management of posterior communicating artery aneurysms | |
| Creator | Abdurahman, Elkharbash Amod, Khatija Royston, Duncan Harrichandparsad, Rohen | |
| Description | Background: Oculomotor nerve palsy (ONP) is a common clinical presentation of posterior communicating artery (PcomA) aneurysms. It remains unclear if patients have a better rate of recovery after surgical clipping or endovascular coiling.Objectives: The main objectives of this study were to assess the overall rate of ONP recovery after endovascular coiling of PcomA aneurysms, as well as to determine the associated predictive factors of oculomotor nerve recovery.Method: We retrospectively evaluated the demographic, clinical, and radiological characteristics and the outcome of consecutive patients presenting with PcomA aneurysms treated by endovascular coiling from January 2012 to November 2016 with at least 1 year clinical and radiological follow-up. Statistical analysis was applied to determine the association between ONP recovery and the demographic, clinical and radiological variables.Results: A total of 91 patients with PcomA aneurysms were treated endovascularly. Thirty-four patients (22 women and 12 men) with ONP related to PcomA aneurysms were included. The mean age of the patients was 49.8 years. Subarachnoid haemorrhage was present in 27 patients. The mean aneurysm size was 6.7 mm. The overall rate of recovery was 88.2%. Complete nerve recovery was seen in 16 (47%) patients and partial recovery was observed in 14 (41.2%) patients, whilst 4 (11.8%) patients remained unchanged after treatment. The non-posterolateral direction of the aneurysm showed a tendency towards better recovery compared to the posterolateral projection (p = 0.06).Conclusion: Endovascular coiling of PcomA aneurysms in patients with ONP resulted in a cure or improvement of oculomotor nerve dysfunction in the majority of patients. | |
| Publisher | AOSIS | |
| Date | 2020-08-31 | |
| Identifier | 10.4102/sajr.v24i1.1887 | |
| Source | South African Journal of Radiology; Vol 24, No 1 (2020); 7 pages 2078-6778 1027-202X | |
| Language | eng | |
| Relation |
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:
https://sajr.org.za/index.php/sajr/article/view/1887/2541
https://sajr.org.za/index.php/sajr/article/view/1887/2540
https://sajr.org.za/index.php/sajr/article/view/1887/2542
https://sajr.org.za/index.php/sajr/article/view/1887/2539
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