ArticleAJNR. American journal of neuroradiology2008
Unruptured large and giant carotid artery aneurysms presenting with cranial nerve palsy: comparison of clinical recovery after selective aneurysm coiling and therapeutic carotid artery occlusion.
Article in AJNR. American journal of neuroradiology, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers, 1 of them a synthesis that pooled it.
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Who cites it
30 citing papers in PubMed, 1 synthesis or guideline pooled it, 73 citations in OpenAlex.
- Flow diversion for compressive unruptured internal carotid artery aneurysms with neuro-ophthalmological symptoms: a systematic review and meta-analysis.Journal of neurointerventional surgery · 2023Pooled it
- Resolution of mass effect and compression symptoms following endoluminal flow diversion for the treatment of intracranial aneurysms.AJNR. American journal of neuroradiology · 2013Trial
- Redefining HIV-associated large-vessel vasculopathy in the antiretroviral therapy era: Multi-detector CT imaging findings and their correlation with intervention and patient outcomes.SA journal of radiology · 2026Article
- Extracranial-Intracranial Bypass with Reconstruction Clip Surgery Following Failed Flow Diverter Therapy for a Giant Internal Carotid Aneurysm: A Case Report.Asian journal of neurosurgery · 2025Article
- Giant cavernous internal carotid aneurysm presenting with dizziness and bradycardia: A case report and a review of literature.Radiology case reports · 2023Article
- A giant partial thrombosed aneurysm of the internal cavernous carotid artery mimicking a meningioma of the lesser wing of the sphenoid bone.Radiology case reports · 2022Article
- An unruptured posterior communicating artery aneurysm ruptured during angiography: A case report.Medicine · 2019Article
- Flow Diverter Therapy Using a Pipeline Embolization Device for 100 Unruptured Large and Giant Internal Carotid Artery Aneurysms in a Single Center in a Japanese Population.Neurologia medico-chirurgica · 2018Article
- [Management of paraophthalmic aneurysms : Review of endovascular treatment strategies].Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft · 2018Review
- Retrograde suction decompression of a large internal carotid aneurysm using a balloon guide catheter combined with a blood-returning circuit and STA-MCA bypass: a technical note.Neurosurgical review · 2017Article
- WEB in Partially Thrombosed Intracranial Aneurysms: A Word of Caution.AJNR. American journal of neuroradiology · 2016Article
- Therapeutic Internal Carotid Artery Occlusion for Large and Giant Aneurysms: A Single Center Cohort of 146 Patients.AJNR. American journal of neuroradiology · 2016Observational
- Intracranial Aneurysms: Wall Motion Analysis for Prediction of Rupture.AJNR. American journal of neuroradiology · 2015Review
- Neurovascular reconstruction with flow diverter stents for the treatment of 87 intracranial aneurysms: Clinical results.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015Article
- The maze-making and solving technique for coil embolization of large and giant aneurysms.AJNR. American journal of neuroradiology · 2015Article
- Effect of flow diversion with silk on aneurysm size: A single center experience.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2015Article
- Parent artery occlusion in large, giant, or fusiform aneurysms of the carotid siphon: clinical and imaging results.AJNR. American journal of neuroradiology · 2015Article
- Carotid artery occlusion for the treatment of symptomatic giant carotid aneurysms: a proposal of classification and surgical protocol.Neurosurgical review · 2014Article
- Stent-assisted coil embolization for cavernous carotid artery aneurysms.Neurologia medico-chirurgica · 2014Article
- Unruptured carotid artery aneurysms presenting with symptoms of mass effect: outcome after selective coiling, parent vessel occlusion, and flow diversion.AJNR. American journal of neuroradiology · 2013Article
Corrections and comments
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Authors and funding
2 authors at 1 institution in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
background and purposeInternal carotid artery (ICA) aneurysms may present with cranial nerve dysfunction. Therapeutic ICA occlusion, when tolerated, is an effective treatment resulting in improvement or cure of symptoms in most patients. When ICA occlusion is not tolerated, selective endovascular aneurysm occlusion can be considered. We compare recovery of cranial nerve dysfunction in patients treated with selective coil occlusion and with therapeutic ICA occlusion. MATERIALS AND
methodsIn 16 patients with 17 large or giant (11-45 mm) unruptured ICA aneurysms presenting with dysfunction of cranial nerves (CN) II, III, IV, or VI, selective coil occlusion was performed. From a cohort of 39 patients with ICA aneurysms treated with ICA occlusion and long-term follow-up, we selected 31 patients with aneurysms presenting with cranial nerve dysfunction. Clinical recovery at follow-up from oculomotor dysfunction and visual symptoms was compared for both treatment modalities.
resultsOf 17 aneurysms treated with selective coiling, symptoms of cranial nerve dysfunction resolved in 3, improved in 10, and remained unchanged in 4. In 9 of 17 patients, additional coiling during follow-up was required. Of 31 aneurysms treated with carotid artery occlusion, cranial nerve dysfunction resolved in 19, improved in 9, and remained unchanged in 3. These differences were not significant. There were no complications of treatment.
conclusionRecovery of ICA aneurysm-induced cranial nerve dysfunction occurs in most patients, both after ICA occlusion and after selective coiling. In patients who cannot tolerate ICA occlusion, selective aneurysmal occlusion with coils is a valuable alternative.
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