Clipping vs coiling of posterior communicating artery aneurysms with third nerve palsy

Neurology. 2006 Jan 10;66(1):121-3. doi: 10.1212/01.wnl.0000191398.76450.c4.

Abstract

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.

Publication types

  • Clinical Trial

MeSH terms

  • Adult
  • Age Factors
  • Aged
  • Circle of Willis / pathology*
  • Circle of Willis / physiopathology
  • Circle of Willis / surgery*
  • Diabetes Complications / physiopathology
  • Early Diagnosis
  • Embolization, Therapeutic / instrumentation
  • Embolization, Therapeutic / methods
  • Female
  • Humans
  • Intracranial Aneurysm / complications
  • Intracranial Aneurysm / physiopathology
  • Intracranial Aneurysm / surgery*
  • Middle Aged
  • Neurosurgical Procedures / instrumentation*
  • Neurosurgical Procedures / methods
  • Oculomotor Nerve / blood supply
  • Oculomotor Nerve / pathology
  • Oculomotor Nerve / surgery
  • Oculomotor Nerve Diseases / etiology
  • Oculomotor Nerve Diseases / physiopathology
  • Oculomotor Nerve Diseases / surgery*
  • Prognosis
  • Prostheses and Implants / standards
  • Recovery of Function / physiology
  • Surgical Instruments / standards
  • Time Factors
  • Treatment Outcome
  • Vascular Surgical Procedures / instrumentation*
  • Vascular Surgical Procedures / methods