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© 2006 American Academy of Neurology Brief Communications Clipping vs coiling of posterior communicating artery aneurysms with third nerve palsyFrom the Departments of Neurosurgery (J.Y.A., I.B.H.), Diagnostic Radiology (P.H.Y., S.H.K.), and Health Science (S.K.), and Institute for Clinical Research (N.K.K.), Pochon CHA Medical University, Sungnam, South Korea; Department of Neurosurgery (J.Y.J.), Yonsei University College of Medicine, Seoul, South Korea. Address correspondence and reprint requests to Dr. Jung Yong Ahn, Department of Neurosurgery, Pundang CHA Hospital, 351, Yatap-dong, Pundang-gu, Sungnam, 463-712, South Korea; e-mail: jyahn{at}cha.ac.kr The authors investigated the evolution of third nerve palsy in patients with posterior communicating artery aneurysms who underwent coiling vs clipping. There was no statistical difference of complete third nerve palsy recovery in both treatments. Both techniques were of clinical benefit. Older age, diabetes, delayed interventions, and complete third nerve palsy at presentation indicated a poor prognosis for recovery.
Disclosure: The authors report no conflicts of interest. Received March 21, 2005. Accepted in final form September 23, 2005.
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