Perforated Oculomotor Nerve After Endovascular Coiling: Complete Regeneration After Microsurgical Repair. Case Report

Tomas Menovsky; Thijs van der Zijden; Maurits Voormolen; Luc Van Os; Gregory Helsen; A. Maas; Paul M. Parizel

doi:10.1055/s-0033-1349330

Perforated Oculomotor Nerve After Endovascular Coiling: Complete Regeneration After Microsurgical Repair. Case Report

Tomas Menovsky, Thijs van der Zijden, Maurits Voormolen, Luc Van Os, Gregory Helsen, A. Maas, Paul M. Parizel

Research output: Contribution to journal › Article › peer-review

Abstract

Background and ImportanceWe describe a patient who developed complete right oculomotor nerve palsy after endovascular coiling for a ruptured posterior communicating artery aneurysm caused by migration of the coils outside the aneurysm.

Clinical presentationA 50-year-old woman was admitted with an acute subarachnoid hemorrhage. She underwent, on the day of admission, endovascular coiling of a ruptured posterior communicating artery aneurysm. Four hours postcoiling, complete right oculomotor nerve palsy developed because of extrusion of the coils outside the aneurysm. The patient recovered completely after surgical exploration with removal of the migrated coils and microsurgical repair of the oculomotor nerve.

ConclusionThis report illustrates that oculomotor nerve palsy is a rare complication after coiling of a posterior communicating artery aneurysm, and it should serve as a reminder to encourage neurovascular teams to consider surgical exploration in cases of third nerve palsy after endovascular coiling.

Original language	English
Pages (from-to)	E248-E254
Number of pages	7
Journal	Journal of Neurological Surgery. Part A: Central European Neurosurgery
Volume	74
DOIs	https://doi.org/10.1055/s-0033-1349330
Publication status	Published - Dec 2013
Externally published	Yes

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@article{272a0e9e5707493da00e7b66e29e29e5,

title = "Perforated Oculomotor Nerve After Endovascular Coiling: Complete Regeneration After Microsurgical Repair. Case Report",

abstract = "Background and ImportanceWe describe a patient who developed complete right oculomotor nerve palsy after endovascular coiling for a ruptured posterior communicating artery aneurysm caused by migration of the coils outside the aneurysm.Clinical presentationA 50-year-old woman was admitted with an acute subarachnoid hemorrhage. She underwent, on the day of admission, endovascular coiling of a ruptured posterior communicating artery aneurysm. Four hours postcoiling, complete right oculomotor nerve palsy developed because of extrusion of the coils outside the aneurysm. The patient recovered completely after surgical exploration with removal of the migrated coils and microsurgical repair of the oculomotor nerve.ConclusionThis report illustrates that oculomotor nerve palsy is a rare complication after coiling of a posterior communicating artery aneurysm, and it should serve as a reminder to encourage neurovascular teams to consider surgical exploration in cases of third nerve palsy after endovascular coiling.",

keywords = "aneurysm surgery, endovascular coiling, perforation, oculomotor nerve, microsurgical repair, complication, POSTERIOR COMMUNICATING ARTERY, PALSY, ANEURYSMS, MANAGEMENT, RECOVERY, 3RD",

author = "Tomas Menovsky and {van der Zijden}, Thijs and Maurits Voormolen and {Van Os}, Luc and Gregory Helsen and A. Maas and Parizel, {Paul M.}",

year = "2013",

month = dec,

doi = "10.1055/s-0033-1349330",

language = "English",

volume = "74",

pages = "E248--E254",

journal = "Journal of Neurological Surgery. Part A: Central European Neurosurgery",

issn = "2193-6315",

publisher = "THIEME MEDICAL PUBL INC",

}

TY - JOUR

T1 - Perforated Oculomotor Nerve After Endovascular Coiling

T2 - Complete Regeneration After Microsurgical Repair. Case Report

AU - Menovsky, Tomas

AU - van der Zijden, Thijs

AU - Voormolen, Maurits

AU - Van Os, Luc

AU - Helsen, Gregory

AU - Maas, A.

AU - Parizel, Paul M.

PY - 2013/12

Y1 - 2013/12

N2 - Background and ImportanceWe describe a patient who developed complete right oculomotor nerve palsy after endovascular coiling for a ruptured posterior communicating artery aneurysm caused by migration of the coils outside the aneurysm.Clinical presentationA 50-year-old woman was admitted with an acute subarachnoid hemorrhage. She underwent, on the day of admission, endovascular coiling of a ruptured posterior communicating artery aneurysm. Four hours postcoiling, complete right oculomotor nerve palsy developed because of extrusion of the coils outside the aneurysm. The patient recovered completely after surgical exploration with removal of the migrated coils and microsurgical repair of the oculomotor nerve.ConclusionThis report illustrates that oculomotor nerve palsy is a rare complication after coiling of a posterior communicating artery aneurysm, and it should serve as a reminder to encourage neurovascular teams to consider surgical exploration in cases of third nerve palsy after endovascular coiling.

AB - Background and ImportanceWe describe a patient who developed complete right oculomotor nerve palsy after endovascular coiling for a ruptured posterior communicating artery aneurysm caused by migration of the coils outside the aneurysm.Clinical presentationA 50-year-old woman was admitted with an acute subarachnoid hemorrhage. She underwent, on the day of admission, endovascular coiling of a ruptured posterior communicating artery aneurysm. Four hours postcoiling, complete right oculomotor nerve palsy developed because of extrusion of the coils outside the aneurysm. The patient recovered completely after surgical exploration with removal of the migrated coils and microsurgical repair of the oculomotor nerve.ConclusionThis report illustrates that oculomotor nerve palsy is a rare complication after coiling of a posterior communicating artery aneurysm, and it should serve as a reminder to encourage neurovascular teams to consider surgical exploration in cases of third nerve palsy after endovascular coiling.

KW - aneurysm surgery

KW - endovascular coiling

KW - perforation

KW - oculomotor nerve

KW - microsurgical repair

KW - complication

KW - POSTERIOR COMMUNICATING ARTERY

KW - PALSY

KW - ANEURYSMS

KW - MANAGEMENT

KW - RECOVERY

KW - 3RD

U2 - 10.1055/s-0033-1349330

DO - 10.1055/s-0033-1349330

M3 - Article

VL - 74

SP - E248-E254

JO - Journal of Neurological Surgery. Part A: Central European Neurosurgery

JF - Journal of Neurological Surgery. Part A: Central European Neurosurgery

SN - 2193-6315

ER -

Perforated Oculomotor Nerve After Endovascular Coiling: Complete Regeneration After Microsurgical Repair. Case Report

Abstract

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