Author(s): WANG Xukou, WEI Jianjun, ZHANG Yang, ZUO Yingjiu, GAO Ge, NIU Chaoshi, FU Xianming
Pages: 62-64,65
Year: 2015 Issue:  1
Journal: Anhui Medical Journal
Keyword:  Posterior communicating artery aneurysm; Oculomotor nerve palsy; Endovascular embolization; Surgical clipping;
Abstract: Objective To explore the clinical efficacy and influencing factors of surgical clipping and endovascular embolization in the treatment of posterior communicating artery aneurysm induced oculomotor nerve palsy ( ONP) .Methods The clinical and follow-up data of communicating artery aneurysm induced oculomotor nerve palsy in 48 patients from July 2010 to July 2013 were analyzed retrospectively. Among the 48 patients, 13 patients were treated with surgical clipping and 35 patients with endovascular embolization.The different treatment modalities that might affect ONP prognostic factors were compared, including the age, whether having preoperative subarachnoid hemorrhage ( SAH) , size of aneurysm, seriousness of oculomotor nerve palsy and therapeutic duration.Results Of the 48 patients with PcomAA, 41 (85.4%) patients with ONP recovered completely and 7 (14.6%) recovered partially.Of the 35 patients treated with endovascular emboli-zation, 31 patients with ONP recovered completely and 4 patients recovered partially.Of the 13 patients in the surgical clipping group, 10 pa-tients with ONP recovered completely and 3 patients recovered partially.Compared to the patients with unruptured intracranial aneurysm, with preoperative complete ONP or accepted treatment after 14 days since the onset of symptoms, the symptoms of oculomotor nerve palsy recov-ered significantly in the patients accompanying subarachnoid hemorrhage( SAH) , with preoperative partial ONP or accepted treatment in 14 days since the onset of symptoms( P<0.05) .Conclusion There is no significant difference in the clinical efficacy between surgical clip-ping and endovascular embolization as treatment for posterior communicating artery aneurysm patients with ONP.