Oculomotor nerve palsy induced by internal carotid artery aneurysm: prognostic factors for recovery

Abstract

Surgery was associated with a more complete and earlier ONP recovery as compared to endovascular treatment, confirming the results of previous studies. However, conclusions must be confirmed by a prospective randomized study.

Clipping Versus Coiling in the Management of Posterior Communicating Artery Aneurysms with Third Nerve Palsy: A Systematic Review and Meta-Analysis

“…There was no significant difference between the two groups (p= 0.72, Figure 3). The same result was observed when we looked for any differences between high-quality studies 24,25,27,[29][30][31][32][33] and others according to the NOS score, with an OR of 3.89 (95% CI 1.06-14.28) and 5.73 (95% CI 1.56-21.0), respectively (p= 0.68; Supplementary Figure 2). Complete versus incomplete initial ONP.…”

“…In one study, 4 patients had aneurysms other than PCoA aneurysms, but the data provided did not allowed us to exclude them from the analysis. 32 …”

“…The eleven studies were observational and were strictly retrospective. Eight studies were defined as "goodquality studies" according to the NOS score, 24,25,27,[29][30][31][32][33] and three studies were defined as poor-quality studies. 23,26,28 Nine studies recorded the patients' age; mean patient age was 53.4 years.…”

“…4,[8][9][10][11][12][13][14][15][16][17][18][19][20][21][22] Eleven studies met all inclusion criteria and had sufficient available data. [23][24][25][26][27][28][29][30][31][32][33] These studies had a total sample size of 384 patients with third nerve palsy due to PCoA aneurysms at baseline, of whom 257 (67.0%) were treated by clipping and 127 by coiling (33.0%). The number of patients at baseline in the M A N U S C R I P T…”

Riskier-than-expected occlusive treatment of ruptured posterior communicating artery aneurysms: treatment and outcome of 620 consecutive patients

“…When ruptured, they have the potential to cause severe aneurysmal subarachnoid hemorrhage (aSAH) with intraventricular hemorrhage (IVH) and temporal intracerebral hematoma (ICH) or subdural hematoma (SDH) and oculomotor nerve palsies (ONPs). 3,7,13,15,20,26,35,42 Nearly one-third of the ruptured aneurysms lie beside the fetal or dominant PCoA, which can be compromised. 6,15,21 And the most common orientation, a posterior orientation of the dome, can be associated with higher treatment-related complications than more lateral orientations because of the limited visualization in microsurgical treatment.…”