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http://dx.doi.org/10.3340/jkns.2010.48.2.109

Unruptured Intracranial Aneurysms with Oculomotor Nerve Palsy : Clinical Outcome between Surgical Clipping and Coil Embolization  

Nam, Kyoung-Hyup (Department of Neurosurgery, School of Medicine, Pusan National University)
Choi, Chang-Hwa (Department of Neurosurgery, School of Medicine, Pusan National University)
Lee, Jae-Il (Department of Neurosurgery, School of Medicine, Pusan National University)
Ko, Jun-Gyeong (Department of Neurosurgery, School of Medicine, Pusan National University)
Lee, Tae-Hong (Department of Diagnostic Radiology, School of Medicine, Pusan National University)
Lee, Sang-Weon (Department of Neurosurgery, School of Medicine, Pusan National University)
Publication Information
Journal of Korean Neurosurgical Society / v.48, no.2, 2010 , pp. 109-114 More about this Journal
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.
Keywords
Oculomotor nerve palsy; Intracranial aneurysm; Surgical clipping; Coil embolization;
Citations & Related Records
Times Cited By KSCI : 2  (Citation Analysis)
Times Cited By Web Of Science : 1  (Related Records In Web of Science)
Times Cited By SCOPUS : 0
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