Endovascular treatment of posterior communicating aneurysms complicated with oculomotor nerve palsy (report of 25 cases)
ZHU Chen-lu
MING Zhi-xu
LI Xing-hui
LI Bei-bei
Feng Jin
YANG Zhen-xing
HUANG De-jun
LI Zong-zheng
Abstract：Objective To explore the treatment of posterior communicating artery (PCOA ) aneurysms complicated with oculmotor nerve palsy (OMNP). Method The clinical data 25 patients with 27 PCOA aneurysms compliated with OMNP, who underwent endovascular treatment from January, 2016 to January, 2017, were analyzed retrospectively. Results Of 26 aneurysms, 24 were totally occluded and 2 subtotally with LVIS stent-assisted coiling embolization. Another aneurysms was embolized only with LVIS stent. The following-up from 6 months to 1 year showed that of 25 patients, 15 were completly recovered from OMNP, 7 partly and 3 not. Conclusions Most OMNP caused by PCOA aneurysms may be cured by the endovascular embolization of PCOA aneurysms. And some patients with OMNP caused by the PCOA aneurysms can not recover completely after the embolization of PCOA aneurysms probably due to the irreversible damage to the oculomotor nerves caused by the aneurysmal long-term pressure.
Keywords：Oculmotor nerve palsyPosterior communicating artery aneurysmsEndovascular embolizationclinical effect
Publication Date：2018-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 772-774 )