Oculomotor Nerve Palsy after Surgery for Upper Basilar Artery Aneurysms
| Autor: | Hideaki Nukui, Isao Fukasawa, Hideo Sasaki, Toru Horikoshi, Kazuyuki Nishigaya, Tsutomu Yagishita |
|---|---|
| Rok vydání: | 1999 |
| Předmět: |
Male
medicine.medical_specialty Postoperative Complications Aneurysm Japan Risk Factors medicine.artery Oculomotor Nerve Diseases medicine Basilar artery Humans Cranial nerve disease cardiovascular diseases Oculomotor nerve palsy Superior cerebellar artery Retrospective Studies Palsy business.industry Oculomotor nerve Incidence Intracranial Aneurysm Middle Aged medicine.disease Surgery Treatment Outcome medicine.anatomical_structure Basilar Artery cardiovascular system Regression Analysis Female Neurology (clinical) medicine.symptom Cerebellar artery business |
| Zdroj: | Neurosurgery. 44:705-710 |
| ISSN: | 1524-4040 0148-396X |
| Popis: | OBJECTIVE: The goals of this study were to evaluate the relationship between postoperative oculomotor nerve palsy and other clinical factors and to improve preoperative estimations of the risk. Such an evaluation has not been previously described in the literature. METHODS: Patient records for 77 basilar tip aneurysm cases and 28 basilar superior cerebellar artery aneurysm cases treated between 1981 and 1997 were reviewed. Clinical and radiological parameters were separately analyzed using the X 2 test, and then multiple-regression analysis was used. RESULTS: Postoperative oculomotor palsy occurred in 25 (32%) patients with basilar tip aneurysms and 11 (39%) patients with basilar superior cerebellar artery aneurysms, in addition to 2 patients with basilar tip aneurysms and 3 patients with basilar superior cerebellar artery aneurysms who exhibited oculomotor palsy before surgery. For both type of aneurysms, the size and direction of the aneurysms were closely related to oculomotor nerve palsy. The complication also tended to occur in early surgery cases, in younger patients, and in patients of poor-clinical grade status. CONCLUSION: In this study, some clinical and radiological factors were found to be associated with postoperative oculomotor nerve palsy. |
| Databáze: | OpenAIRE |
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