Effects of surgical clipping and endovascular embolization on the recovery of oculomotor nerve paralysis caused by posterior communicating artery aneurysm
| Autor: | Kang Hu, Wen-hao Wang, Gen-ping Cai, Liang Fu, Lili Huang, Wei Huang, Chang-chun Liu |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
business.industry Surgical clipping Potential risk medicine.medical_treatment Therapeutic effect Posterior Communicating Artery Aneurysm medicine.disease Surgery surgical procedures operative Neurology Recovery rate cardiovascular system medicine cardiovascular diseases Neurology (clinical) Embolization Oculomotor nerve palsy business Oculomotor Nerve Paralysis |
| Zdroj: | Neurology Asia. 26:471-478 |
| ISSN: | 1823-6138 |
| DOI: | 10.54029/2021vnw |
| Popis: | Background and Objectives: Our study aimed to explore the therapeutic effects of surgical clipping and endovascular embolization on the recovery of oculomotor nerve paralysis (ONP) caused by posterior communicating artery aneurysm (PcomAA). Methods: The clinical data of patients with intracranial PcomAA and ONP were retrospectively analyzed. All patients were treated with surgical clipping or endovascular embolization, then followed up for no less than 12 months. Logistic regression analysis was performed to analyze the potential risk factors influencing ONP recovery. Results: Among 128 patients of ONP caused by PcomAA, 96 patients were treated with surgical clipping and 32 patients with endovascular embolization, respectively. Time from initial ONP onset to complete or partial recovery was 85.3 ± 36.8 days for patients receiving surgical clipping, and 135.7 ± 41.3 days for patients treated with endovascular embolization. The recovery rate was 94 (97.9%) in the surgical clipping group and 22 (68.8%) in the endovascular embolization group, and significant difference was shown between the two groups (P < 0.001). Logistic regression analyses demonstrated that the complete or partial recovery of ONP in the surgical clipping group was significantly better than that in the endovascular embolization group (OR, 5.582; 95%CI, 2.023-15.405; P |
| Databáze: | OpenAIRE |
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