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Abstract

To present our experience of embolization for the treatment of intracranial aneurysms with third nerve palsy, we analyzed 15 patients with posterior communicating artery aneurysms presenting third nerve palsy. Nine had subaracnoid hemorrhage.

In all of them a packing of aneurysm with different types of coils was performed. We employed in 4 cases coils with fibers, in 4 tungsten spirals and in 7 cases GDC coils.

Most posterior communicating artery aneurysms are bilobulated. We have tried to pack and close the first lobulation of aneurysm and so we tried to deposit the less coils than possible. The mean time of recovery was 2.5 months: 1–5 months if the aneurysm was packed only in its first lobule and 3 months if the technical difficulties forced complete packing of the aneurysm. Although this is not a large series, it is significant and shows that the excellent recovery in all cases does not contraindicate aneurysm embolization with coils in patients with third nerve palsy. The bilobulated aneurysms in which we packed the first lobulation completely have a faster recovery.

Keywords

embolization aneurysm third nerve palsy

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References

Graves

Strother

: Early treatment of ruptured aneurysms with Guglielmi Detachable Coils. Effect on subsequent bleeding. Neurosurg 37: 640–648, 1995.

Yasargil

: Carotid posterior communicating aneurysms 71–98. In: Clinical considerations, surgery of the intracranial aneurysms and results. In: Yasargil

: Microneurosurgery. 2. Thieme Stratton, Stuttgar, New York, Thieme, New York 1984.

Serbinenko

: Balloon catheterization and occlusion of major cerebral vessels. J Neurosurg 41: 124–145, 1974.

Debrun

Fox

: Giant unclippable aneurysm: Treatment with detachable ballons. Am J Neuroradiol 2: 167–173, 1989.

Hilal

Khandji

: Obliteration of intracranial aneurysms with preshaped highly trombogenic coils. Radiology 173 (Suppl): 250, 1989.

Casasco

Aymard

: Selective endovascular treatment of 71 intracranial aneurysms with platinun coils. J Neurosurg 79: 3–10, 1993.

Cognard

Pierot

: Endovascular treatment of intracranial aneurysms with mechanical detachable spirales: About 60 cases. Radiology 202: 783–792, 1996.

Guglielmi

Viñuela

: Electrothrombosis of saccular aneurysms via endovascular approach. Part 2. Preliminary clinical experience. J Neurosurg 75: 8–14, 1991.

Malisch

Guglielmi

: Intracranial aneurysms treated Guglielmi Detachable Coil. Midterm clinical a results in a consecutive series of 100 patients. J Neurosurg 87: 176–183, 1997.

10.

Halbach

Higasida

: The efficacy of endosaccular aneurysm occlusion in alleviating neurological deficits produced by mass effect. J Neurosurg 80: 659–666, 1994.

11.

Zubillaga

Guglielmi

: Endovascular occlusion of intracranial aneurysm with electrically detechable coils: Correlation of aneurysmal neck size and treatment results. Am J Neuroradiol 15: 815–820, 1994.

12.

Moret

Cognard

: The “Remodelling Technique” in the treatment of wide neck intracranial aneurysms. Angiographic and clinical follow-up, about 56 cases. Interventional Neuroradiology 3: 21–35, 1997.

Intracranial Aneurysms with Third Nerve Palsy

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