Document Detail

Recovery of oculomotor nerve palsy following surgical clipping of posterior communicating artery aneurysms.
MedLine Citation:
PMID:  20228474     Owner:  NLM     Status:  MEDLINE    
Oculomotor nerve palsy (ONP) can be the presenting feature of ruptured or an unruptured posterior communicating artery (PcomA) aneurysm. Etiopathogenesis and recovery of ONP following treatment of PcomA aneurysm has been a subject of controversy. Case records of thirteen patients (mean age 42 years (range 19-65 years), M:F: 3:10) with PcomA aneurysm and ONP who underwent surgery over a period of eight years were analyzed. Twelve patients presented with subarchnoid hemorrhage and one had unruptured aneurysm. The interval between the onset of symptoms and surgery ranged between 4 and 70 days (mean 16.7 days). All the four patients with partial ONP had complete recovery and of the nine patients with complete ONP, six had complete recovery and three had partial recovery. The recovery of the ONP is influenced by the degree of preoperative deficit. Although clipping of the aneurysm probably expedites the recovery of the third nerve palsy, age, sex and timing of surgery may not have any influence on the recovery patterns.
Vamsi K Yerramneni; P Sarat Chandra; Manish K Kasliwal; Sumit Sinha; Ashish Suri; Aditya Gupta; Bhawani S Sharma
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Neurology India     Volume:  58     ISSN:  0028-3886     ISO Abbreviation:  Neurol India     Publication Date:    2010 Jan-Feb
Date Detail:
Created Date:  2010-03-15     Completed Date:  2010-06-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0042005     Medline TA:  Neurol India     Country:  India    
Other Details:
Languages:  eng     Pagination:  103-5     Citation Subset:  IM    
Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi - 110 029, India.
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MeSH Terms
Coronary Angiography / methods
Follow-Up Studies
Intracranial Aneurysm / complications*,  surgery
Middle Aged
Neurosurgical Procedures / methods*
Oculomotor Nerve Diseases / etiology*,  surgery
Outcome Assessment (Health Care)
Reconstructive Surgical Procedures
Recovery of Function*
Severity of Illness Index
Surgical Instruments*
Young Adult

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