PURPOSE: The aim of this study was to analyze ocular signs and symptoms in patients with oculomotor nerve palsy due to compression exerted by an intracranial aneurysm. We compare the results of two surgical treatments (microsurgical clipping against endovascular embolisation) in relation with the size of the aneurysm and the time between diagnosis and therapeutical approach. MATERIALS AND METHODS: The study involved 16 patients. Each patient underwent an ophthalmological evaluation at the baseline and immediately, 6 months and 1 year after surgery, including the study of eyelid ptosis, ocular motility, pupil function, non-concomitant strabismus, diplopia and visual acuity. RESULTS: The best recovery was seen in the patients undergoing aneurysm clipping. Palpebral ptosis was the first sign to appear and the first to regress, followed by pupil and medial rectus function. Recovery of the other muscles was slower and often incomplete. CONCLUSIONS: Ophthalmological examination is essenti
Purpose The aim of this study was to analyze ocular signs and symptoms in patients with oculomotor nerve palsy due to compression exerted by an intracranial aneurysm. We compare the results of two surgical treatments (microsurgical clipping against endovascular embolisation) in relation with the size of the aneurysm and the time between diagnosis and therapeutical approach Materials and Methods The study involved 16 patients. Each patient underwent an ophthalmological evaluation at the baseline and immediately, 6 months and 1 year after surgery, including the study of eyelid ptosis, ocular motility, pupil function, non-concomitant strabismus, diplopia and visual acuity Results The best recovery was seen in the patients undergoing aneurysm clipping. Palpebral ptosis was the first sign to appear and the first to regress, followed by pupil and medial rectus function. Recovery of the other muscles was slower and often incomplete Conclusions Ophthalmological examination is essential for the correct treatment and follow-up of patients with intracranial aneurysms
Intracranial aneurysm and diplopia due to oculomotor nerve palsy: pre- and post operative study / Arrico, Loredana; Giannotti, Rossella; C., Ganino; Lenzi, Tommaso; Malagola, Romualdo. - In: LA CLINICA TERAPEUTICA. - ISSN 0009-9074. - ELETTRONICO. - 165:4(2014), pp. 258-262. [10.7417/CT.2014.1740]
Intracranial aneurysm and diplopia due to oculomotor nerve palsy: pre- and post operative study
ARRICO, Loredana;GIANNOTTI, ROSSELLA;LENZI, TOMMASO;MALAGOLA, Romualdo
2014
Abstract
PURPOSE: The aim of this study was to analyze ocular signs and symptoms in patients with oculomotor nerve palsy due to compression exerted by an intracranial aneurysm. We compare the results of two surgical treatments (microsurgical clipping against endovascular embolisation) in relation with the size of the aneurysm and the time between diagnosis and therapeutical approach. MATERIALS AND METHODS: The study involved 16 patients. Each patient underwent an ophthalmological evaluation at the baseline and immediately, 6 months and 1 year after surgery, including the study of eyelid ptosis, ocular motility, pupil function, non-concomitant strabismus, diplopia and visual acuity. RESULTS: The best recovery was seen in the patients undergoing aneurysm clipping. Palpebral ptosis was the first sign to appear and the first to regress, followed by pupil and medial rectus function. Recovery of the other muscles was slower and often incomplete. CONCLUSIONS: Ophthalmological examination is essentiI documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
