Risks for Oculomotor Nerve Palsy and Time to Recovery After Surgical Clipping of Posterior Communicating Artery Aneurysms: A Multicenter Retrospective Cohort Study

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MetadadosDescriçãoIdioma
Autor(es): dc.contributorUniversidade Federal de São Paulo (UNIFESP)-
Autor(es): dc.contributorUniversidade Estadual Paulista (UNESP)-
Autor(es): dc.contributorHospital Regional de Presidente Prudente-
Autor(es): dc.contributorInstituto Estadual do Cérebro Paulo Niemeyer-
Autor(es): dc.contributorHospital de Urgencias Governador Otavio Lage-
Autor(es): dc.contributorHospital de Neurologia Santa Monica-
Autor(es): dc.contributorSanta Casa BH-
Autor(es): dc.contributorUniversidade Federal de Minas Gerais (UFMG)-
Autor(es): dc.contributorSECONCI-
Autor(es): dc.contributorHospital São Lucas da PUCRS-
Autor(es): dc.contributorHospital Beneficencia Portuguesa de São Paulo-
Autor(es): dc.creatorda Costa, Marcos Devanir Silva-
Autor(es): dc.creatorLima, Joao Vitor Fernades-
Autor(es): dc.creatorZanini, Marco Antonio-
Autor(es): dc.creatorFilho, Pedro Tadao Hatamoto-
Autor(es): dc.creatorNaufal, Rodrigo Ferrari Fernandes-
Autor(es): dc.creatorReys, Lorena-
Autor(es): dc.creatorGoes, Pedro-
Autor(es): dc.creatorMiguez, Camila Ahmed-
Autor(es): dc.creatorBastos, Francisco Azeredo-
Autor(es): dc.creatorde Figueiredo Lopes, Dionisio-
Autor(es): dc.creatorDellaretti, Marcos-
Autor(es): dc.creatorBuzartti, Israel-
Autor(es): dc.creatorMachado Filho, Mario Alberto S.-
Autor(es): dc.creatorSako, Everson Akio-
Autor(es): dc.creatorWainberg, Ricardo Chmelnitsky-
Autor(es): dc.creatorFerreira, Danilo Santos-
Autor(es): dc.creatorde Araujo Moura, Ana Laura-
Autor(es): dc.creatorChaddad-Neto, Feres-
Data de aceite: dc.date.accessioned2025-08-21T23:25:45Z-
Data de disponibilização: dc.date.available2025-08-21T23:25:45Z-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-07-29-
Data de envio: dc.date.issued2023-06-01-
Fonte completa do material: dc.identifierhttp://dx.doi.org/10.1227/neu.0000000000002349-
Fonte completa do material: dc.identifierhttp://hdl.handle.net/11449/249081-
Fonte: dc.identifier.urihttp://educapes.capes.gov.br/handle/11449/249081-
Descrição: dc.descriptionBACKGROUND: Aneurysms of the posterior communicating segment of carotid artery (PcomA) have a high risk of rupture; when these nonruptured aneurysms are associated with oculomotor nerve palsy (ONP), the risk of rupture increases compared with asymptomatic nonruptured PcomA. OBJECTIVE: To retrospectively analyze the risk factors involved in ONP secondary to PcomA aneurysm and to study the factors involved in the recovery time of ONP once it is established. METHODS: This was a retrospective study of patients from 10 neurosurgery centers from October 2008 to December 2020. We analyzed age at diagnosis, presence of compressive neuropathy of the oculomotor nerve, presence of aneurysm rupture, largest aneurysm diameter, aneurysm projection, smoking, hypertension, diabetes, time between diagnosis and surgical treatment, as well as the outcome. RESULTS: Approximately 1 in 5 patients (119/511 23.3%) with a PcomA presented with ONP. We found that patients with aneurysms measuring greater than or equal to 7.5 mm were 1.6 times more likely to have ONP than those with aneurysms smaller than 7.5 mm. In our study, the prevalence of smoking in the PcomA + ONP group was 57.76%, and we also found that smokers were 2.51 times more likely to develop ONP. A total of 80.7% showed some degree of improvement, and 45.4% showed complete improvement with a median recovery time of 90 days. CONCLUSION: This study showed that 80.7% of patients with PcomA aneurysms undergoing surgical treatment with aneurysm clipping showed some degree of improvement of the ONP, with a median time to recovery between 90 and 120 days.-
Descrição: dc.descriptionDepartment of Neurology and Neurosurgery Universidade Federal de São Paulo, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Faculdade de Medicina Universidade Estadual Paulista, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Hospital Regional de Presidente Prudente, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Instituto Estadual do Cérebro Paulo Niemeyer, Rio de Janeiro-
Descrição: dc.descriptionDepartment of Neurosurgery Hospital de Urgencias Governador Otavio Lage, Goania-
Descrição: dc.descriptionDepartment of Neurosurgery Hospital de Neurologia Santa Monica, Goiás-
Descrição: dc.descriptionDepartment of Neurosurgery Santa Casa BH, Minas Gerais-
Descrição: dc.descriptionDepartment of Surgery Universidade Federal de Minas Gerais, Minas Gerais-
Descrição: dc.descriptionDepartment of Neurosurgery Conjunto Hospitalar de Sorocaba SECONCI, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Hospital São Lucas da PUCRS, Rio Grande do Sul-
Descrição: dc.descriptionDepartmento of Ophtalmology Universidade Federal de São Paulo, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Hospital Beneficencia Portuguesa de São Paulo, São Paulo-
Descrição: dc.descriptionDepartment of Neurosurgery Faculdade de Medicina Universidade Estadual Paulista, São Paulo-
Formato: dc.format1192-1198-
Idioma: dc.languageen-
Relação: dc.relationNeurosurgery-
???dc.source???: dc.sourceScopus-
Palavras-chave: dc.subjectAneurysm clipping-
Palavras-chave: dc.subjectIntracranial aneurysm-
Palavras-chave: dc.subjectOculomotor nerve palsy-
Palavras-chave: dc.subjectPcom aneurysm-
Título: dc.titleRisks for Oculomotor Nerve Palsy and Time to Recovery After Surgical Clipping of Posterior Communicating Artery Aneurysms: A Multicenter Retrospective Cohort Study-
Tipo de arquivo: dc.typelivro digital-
Aparece nas coleções:Repositório Institucional - Unesp

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