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Unruptured aneurysms with cranial nerve symptoms: efficacy of endosaccular Guglielmi detachable coil treatment.

Kim DJ, Kim DI, Lee SK, Kim SY - Korean J Radiol (2003 Jul-Sep)

Bottom Line: Overall, improvement or resolution of CN symptoms after treatment was noted in five patients.Ptosis was the initial symptom to show improvement, while EOM dysfunction responded least favourably.GDC coil packing appears to be an appropriate treatment method for the relief of CN symptoms associated with intracranial aneurysms.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, South Korea. dikim@yumc.yonsei.ac.kr

ABSTRACT

Objective: To evaluate the efficacy of endosaccular Guglielmi detachable coil (GDC) treatment of unruptured aneurysms causing cranial nerve (CN) symptoms.

Materials and methods: Among a database of 218 patients whose aneurysms were treated using GDC, seven patients met the criteria for unruptured aneurysms presenting with symptoms and signs of CN palsy. Changes in CN symptoms before and after GDC treatment were reviewed.

Results: Aneurysms were located in the internal carotid-posterior communicating artery (n=3), the basilar bifurcation (n=1) and the cavernous internal carotid artery (n=3). CN symptoms included ptosis (n=6), mydriasis (n=2), and extraocular muscle (EOM) disorder (CN III: n=4; CN VI: n=3). Overall, improvement or resolution of CN symptoms after treatment was noted in five patients. CN symptoms in cases involving small (

Conclusion: GDC coil packing appears to be an appropriate treatment method for the relief of CN symptoms associated with intracranial aneurysms.

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Related in: MedlinePlus

Time taken for improvement of oculomotor cranial nerve signs. Patient totals include only those in whom the time taken for improvement or resolution was definite.Note.-EOM(III): extraocular muscle dysfunction, cranial nerve III
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Figure 3: Time taken for improvement of oculomotor cranial nerve signs. Patient totals include only those in whom the time taken for improvement or resolution was definite.Note.-EOM(III): extraocular muscle dysfunction, cranial nerve III

Mentions: Among the oculomotor CN signs showing improvement, ptosis seemed to show the earliest response, with improvement beginning at a mean of two months after endovascular treatment (Fig. 3).


Unruptured aneurysms with cranial nerve symptoms: efficacy of endosaccular Guglielmi detachable coil treatment.

Kim DJ, Kim DI, Lee SK, Kim SY - Korean J Radiol (2003 Jul-Sep)

Time taken for improvement of oculomotor cranial nerve signs. Patient totals include only those in whom the time taken for improvement or resolution was definite.Note.-EOM(III): extraocular muscle dysfunction, cranial nerve III
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2698079&req=5

Figure 3: Time taken for improvement of oculomotor cranial nerve signs. Patient totals include only those in whom the time taken for improvement or resolution was definite.Note.-EOM(III): extraocular muscle dysfunction, cranial nerve III
Mentions: Among the oculomotor CN signs showing improvement, ptosis seemed to show the earliest response, with improvement beginning at a mean of two months after endovascular treatment (Fig. 3).

Bottom Line: Overall, improvement or resolution of CN symptoms after treatment was noted in five patients.Ptosis was the initial symptom to show improvement, while EOM dysfunction responded least favourably.GDC coil packing appears to be an appropriate treatment method for the relief of CN symptoms associated with intracranial aneurysms.

View Article: PubMed Central - PubMed

Affiliation: Department of Diagnostic Radiology, Yonsei University College of Medicine, Seoul, South Korea. dikim@yumc.yonsei.ac.kr

ABSTRACT

Objective: To evaluate the efficacy of endosaccular Guglielmi detachable coil (GDC) treatment of unruptured aneurysms causing cranial nerve (CN) symptoms.

Materials and methods: Among a database of 218 patients whose aneurysms were treated using GDC, seven patients met the criteria for unruptured aneurysms presenting with symptoms and signs of CN palsy. Changes in CN symptoms before and after GDC treatment were reviewed.

Results: Aneurysms were located in the internal carotid-posterior communicating artery (n=3), the basilar bifurcation (n=1) and the cavernous internal carotid artery (n=3). CN symptoms included ptosis (n=6), mydriasis (n=2), and extraocular muscle (EOM) disorder (CN III: n=4; CN VI: n=3). Overall, improvement or resolution of CN symptoms after treatment was noted in five patients. CN symptoms in cases involving small (

Conclusion: GDC coil packing appears to be an appropriate treatment method for the relief of CN symptoms associated with intracranial aneurysms.

Show MeSH
Related in: MedlinePlus