Unruptured Intracranial Aneurysms with Oculomotor Nerve Palsy : Clinical Outcome between Surgical Clipping and Coil Embolization
Journal of Korean Neurosurgical Society
;
: 109-114, 2010.
Article
in English
| WPRIM
| ID: wpr-114776
ABSTRACT
OBJECTIVE:
To evaluate the clinical outcome of coil embolization for unruptured intracranial aneurysm (UIA) with oculomotor nerve palsy (ONP) compared with surgical clipping.METHODS:
A total of 19 patients presented with ONP caused by UIAs between Jan 2004 and June 2008. Ten patients underwent coil embolization and nine patients surgical clipping. The following parameters were retrospectively analyzed to evaluate the differences in clinical outcome observed in both coil embolization and surgical clipping 1) gender, 2) age, 3) location of the aneurysm, 4) duration of the symptom, and 5) degree of ONP.RESULTS:
Following treatment, complete symptomatic recovery or partial relief from ONP was observed in 15 patients. Seven of the ten patients were treated by coil embolization, compared to eight of the nine patients treated by surgical clipping (p = 0.582). Patient's gender, age, location of the aneurysm, size of the aneurysm, duration of symptom, and degree of the ONP did not statistically correlate with recovery of symptoms between the two groups. No significant differences were observed in mean improvement time in either group (55 days in coil embolization and 60 days in surgical clipping).CONCLUSION:
This study indicates that no significant differences were observed in the clinical outcome between coil embolization and surgical clipping techniques in the treatment of aneurysms causing ONP. Coil embolization seems to be more feasible and safe treatment modality for the relief and recovery of oculomotor nerve palsy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Surgical Instruments
/
Oculomotor Nerve Diseases
/
Intracranial Aneurysm
/
Retrospective Studies
/
Aneurysm
/
Oculomotor Nerve
Type of study:
Observational study
Limits:
Humans
Language:
English
Journal:
Journal of Korean Neurosurgical Society
Year:
2010
Type:
Article
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