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Oculomotor nerve palsy (ONP) is often the presenting symptom in patients with posterior communicating artery (PCOMM) aneurysms with variable recovery of oculomotor nerve function following treatment. In this study we report the ophthalmologic outcome of 20 patients treated by endovascular coiling for PCOMM aneurysm-induced ONP.We performed 230 PCOMM aneurysm endovascular coilings between the years 2006 and 2011, of which 20 cases presented with ONP. We recorded the degree of nerve recovery - complete, partial or none - while also documenting other predictive factors, such as degree of pre-intervention nerve deficit, presence of subarachnoid haemorrhage (SAH), size and location of the PCOMM aneurysm and length of follow-up.Of the 20 patients, 9 (45

作者:Mark John, Sheehan;Ruth, Dunne;John, Thornton;Paul, Brennan;Seamus, Looby;Alan, O'Hare

来源:Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2015 年 21卷 3期

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作者:
Mark John, Sheehan;Ruth, Dunne;John, Thornton;Paul, Brennan;Seamus, Looby;Alan, O'Hare
来源:
Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences 2015 年 21卷 3期
标签:
Brain aneurysm endovascular oculomotor posterior communicating artery
Oculomotor nerve palsy (ONP) is often the presenting symptom in patients with posterior communicating artery (PCOMM) aneurysms with variable recovery of oculomotor nerve function following treatment. In this study we report the ophthalmologic outcome of 20 patients treated by endovascular coiling for PCOMM aneurysm-induced ONP.We performed 230 PCOMM aneurysm endovascular coilings between the years 2006 and 2011, of which 20 cases presented with ONP. We recorded the degree of nerve recovery - complete, partial or none - while also documenting other predictive factors, such as degree of pre-intervention nerve deficit, presence of subarachnoid haemorrhage (SAH), size and location of the PCOMM aneurysm and length of follow-up.Of the 20 patients, 9 (45