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Oculomotor nerve palsy due to posterior communicating artery aneurysm: Clipping vs coiling

dc.creatorNikova A.S., Sioutas G.S., Sfyrlida K., Tripsianis G., Karanikas M., Birbilis T.en
dc.date.accessioned2023-01-31T09:40:21Z
dc.date.available2023-01-31T09:40:21Z
dc.date.issued2022
dc.identifier10.1016/j.neuchi.2021.03.012
dc.identifier.issn00283770
dc.identifier.urihttp://hdl.handle.net/11615/77230
dc.description.abstractObjective: Posterior communicating artery aneurysms (PCoAA) usually present with brain hemorrhage, but they might present with oculomotor nerve palsy (ONP) in about one out of five patients. Treatment options include endovascular coiling and surgical clipping. The present analysis aims to compare the two treatment options for ONP due to PCoAA in terms of complete recovery and related parameters. Methods: A comprehensive literature search was performed for studies published between 2000 and 2019 on ONP due to PCoAA. The included studies were divided into two categories—surgical clipping (group A) and endovascular coiling (group B). The collected data were statistically processed with SPSS version 25. Results: There was a significant difference between the two treatment groups regarding complete recovery of ONP (P < 0.001), suggesting superiority of the surgical clipping. The correlation analysis showed no correlations for group A. Group B had negative and positive correlations, showing that endovascular coiling results in higher rates of complete ONP recovery for elderly patients. Conclusion: Surgical clipping is superior to endovascular coiling in terms of complete recovery among patients with ONP due to PCoAAs. Endovascular coiling seems to benefit older patients. While no recommendations exist for the treatment of ONP due to intracranial aneurysms, an increasing number of studies imply the superiority of operative clipping. © 2021 Elsevier Masson SASen
dc.language.isoenen
dc.sourceNeurochirurgieen
dc.source.urihttps://www.scopus.com/inward/record.uri?eid=2-s2.0-85105332962&doi=10.1016%2fj.neuchi.2021.03.012&partnerID=40&md5=8878d27755e126266244542f97bcb1b2
dc.subjectaneurysmen
dc.subjectaneurysm clippingen
dc.subjectcoil embolizationen
dc.subjectcorrelational studyen
dc.subjecthumanen
dc.subjectinformation processingen
dc.subjectophthalmoplegiaen
dc.subjectposterior communicating arteryen
dc.subjectReviewen
dc.subjectsubarachnoid hemorrhageen
dc.subjectsystematic reviewen
dc.subjectageden
dc.subjectaneurysm ruptureen
dc.subjectartificial embolizationen
dc.subjectbrain hemorrhageen
dc.subjectcomplicationen
dc.subjectendovascular surgeryen
dc.subjectintracranial aneurysmen
dc.subjectneurosurgeryen
dc.subjectoculomotor nerve diseaseen
dc.subjectretrospective studyen
dc.subjecttreatment outcomeen
dc.subjectAgeden
dc.subjectAneurysm, Ruptureden
dc.subjectEmbolization, Therapeuticen
dc.subjectEndovascular Proceduresen
dc.subjectHumansen
dc.subjectIntracranial Aneurysmen
dc.subjectIntracranial Hemorrhagesen
dc.subjectNeurosurgical Proceduresen
dc.subjectOculomotor Nerve Diseasesen
dc.subjectRetrospective Studiesen
dc.subjectTreatment Outcomeen
dc.subjectElsevier Masson s.r.l.en
dc.titleOculomotor nerve palsy due to posterior communicating artery aneurysm: Clipping vs coilingen
dc.typeotheren


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