title: Selective endovascular aneurysm neck ligation to treat compressive cranial neuropathy.
abstract: OBJECTIVE
  To report a novel endovascular coiling technique for ligation of aneurysms presenting with cranial neuropathy.
  
  
  METHODS
  We describe three patients (all female, median age: 57) presenting with unruptured, mass effect producing, aneurysms. All three were treated with coiling of the aneurysm inflow zone without deploying coils in the dome or fundus. Their clinical manifestations, the radiologic features of the aneurysms, and details of endovascular inflow zone ligation are presented.
  
  
  RESULTS
  Clinical and radiological improvement was seen in all three patients after 6-12 months follow-up.
  
  
  CONCLUSIONS
  This technique may be considered in patients presenting with compressive cranial neuropathy and an aneurysm configuration that allows selective coiling of the inflow zone.
authors.affiliation: Department of Neurology and Psychiatry, Saint Louis University, Saint Louis, MO 63104, USA. redgell@slu.edu
authors.forename: Randall C
authors.initials: RC
authors.lastname: Edgell
authors.forename: Junaid
authors.initials: J
authors.lastname: Kaila
authors.forename: Afshin
authors.initials: A
authors.lastname: Borhani Haghighi
mesh_terms: D002533:Cerebral Angiography / Q000379:methods; D057510:Endovascular Procedures / Q000379:methods*; D005260:Female; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D008026:Ligation / Q000379:methods; D008875:Middle Aged; D009408:Nerve Compression Syndromes / Q000209:etiology / Q000517:prevention & control*; D019635:Neurosurgical Procedures / Q000379:methods*; D015840:Oculomotor Nerve Diseases / Q000209:etiology* / Q000517:prevention & control*; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome