Third nerve decompression by anterior petroclinoid ligament opening after clipping of posterior communicating artery aneurysm-How I do it.
Acta Neurochir (Wien)
; 160(11): 2187-2189, 2018 11.
Article
em En
| MEDLINE
| ID: mdl-30196387
ABSTRACT
BACKGROUND:
Posterior communicating artery aneurysms sometimes present with partial or complete oculomotor nerve palsy, due to direct oculomotor nerve compression, irritation by subarachnoid blood, or both. Superiority of surgical clipping over endovascular coiling in terms of postoperative outcome is still controversial.METHOD:
Direct oculomotor nerve decompression by opening of the anterior petroclinoid ligament during aneurysm clipping is performed as a simple and feasible surgical maneuver which allows to improve the decompression effect obtained by aneurysm exclusion.CONCLUSION:
Anterior petroclinoid ligament opening permits to achieve a better oculomotor nerve decompression. Its efficiency on the recovery of the deficit needs to be proved by larger series.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Doenças do Nervo Oculomotor
/
Aneurisma Intracraniano
/
Descompressão Cirúrgica
/
Nervo Oculomotor
Idioma:
En
Ano de publicação:
2018
Tipo de documento:
Article