2014年8月
Third nerve palsy caused by compression of the posterior communicating artery aneurysm does not depend on the size of the aneurysm, but on the distance between the ICA and the anterior-posterior clinoid process
Clinical Neurology and Neurosurgery
- 巻
- 123
- 号
- 開始ページ
- 169
- 終了ページ
- 173
- 記述言語
- 英語
- 掲載種別
- 研究論文(学術雑誌)
- DOI
- 10.1016/j.clineuro.2014.05.006
- 出版者・発行元
- ELSEVIER SCIENCE BV
Objective Third nerve palsy (TNP) caused by a posterior communicating artery (PCoA) aneurysm is a well-known symptom of the condition, but the characteristics of unruptured PCoA aneurysm-associated third nerve palsy have not been fully evaluated. The aim of this study was to analyze the anatomical features of PCoA aneurysms that caused TNP from the viewpoint of the relationship between the ICA and the skull base. Methods Forty-eight unruptured PCoA aneurysms were treated surgically between January 2008 and September 2013. The characteristics of the aneurysms were evaluated. Results Thirteen of the 48 patients (27%) had a history of TNP. The distance between the ICA and the anterior-posterior clinoid process (ICA-APC distance) was significantly shorter in the TNP group (p < 0.01), but the maximum size of the aneurysms was not (p = 0.534). Conclusion Relatively small unruptured PCoA aneurysms can cause third nerve palsy if the ICA runs close to the skull base. © 2014 Elsevier B.V.
- リンク情報
-
- DOI
- https://doi.org/10.1016/j.clineuro.2014.05.006
- PubMed
- https://www.ncbi.nlm.nih.gov/pubmed/24968189
- Web of Science
- https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000339989100031&DestApp=WOS_CPL
- Scopus
- https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84903207120&origin=inward
- Scopus Citedby
- https://www.scopus.com/inward/citedby.uri?partnerID=HzOxMe3b&scp=84903207120&origin=inward
- ID情報
-
- DOI : 10.1016/j.clineuro.2014.05.006
- ISSN : 0303-8467
- eISSN : 1872-6968
- PubMed ID : 24968189
- SCOPUS ID : 84903207120
- Web of Science ID : WOS:000339989100031