Clipping vs coiling of posterior communicating artery aneurysms with third nerve palsy.
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.
Ahn
J Y
JY
Department of Neurosurgery, Pochon CHA Medical University, Sungnam, South Korea. jyahn@cha.ac.kr
Han
I B
IB
Yoon
P H
PH
Kim
S H
SH
Kim
N K
NK
Kim
S
S
Joo
J Y
JY
D000328:Adult; D000367:Age Factors; D000368:Aged; D002941:Circle of Willis / Q000473:pathology* / Q000503:physiopathology / Q000601:surgery*; D048909:Diabetes Complications / Q000503:physiopathology; D042241:Early Diagnosis; D004621:Embolization, Therapeutic / Q000295:instrumentation / Q000379:methods; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D008875:Middle Aged; D019635:Neurosurgical Procedures / Q000295:instrumentation* / Q000379:methods; D009802:Oculomotor Nerve / Q000098:blood supply / Q000473:pathology / Q000601:surgery; D015840:Oculomotor Nerve Diseases / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D011379:Prognosis; D019736:Prostheses and Implants / Q000592:standards; D020127:Recovery of Function / Q000502:physiology; D013525:Surgical Instruments / Q000592:standards; D013997:Time Factors; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000295:instrumentation* / Q000379:methods