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Selective Endovascular Aneurysm Neck Ligation to Treat Compressive Cranial Neuropathy
Author(s) -
Edgell Randall C.,
Kaila Junaid,
Haghighi Afshin Borhani
Publication year - 2013
Publication title -
journal of neuroimaging
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.822
H-Index - 64
eISSN - 1552-6569
pISSN - 1051-2284
DOI - 10.1111/j.1552-6569.2012.00721.x
Subject(s) - medicine , ligation , aneurysm , radiology , surgery , endovascular coiling , endovascular treatment
OBJECTIVE To report a novel endovascular coiling technique for ligation of aneurysms presenting with cranial neuropathy. METHODS We describe three patients (all female, median age: 57) presenting with unruptured, mass effect producing, aneurysms. All three were treated with coiling of the aneurysm inflow zone without deploying coils in the dome or fundus. Their clinical manifestations, the radiologic features of the aneurysms, and details of endovascular inflow zone ligation are presented. RESULTS Clinical and radiological improvement was seen in all three patients after 6‐12 months follow‐up. CONCLUSION This technique may be considered in patients presenting with compressive cranial neuropathy and an aneurysm configuration that allows selective coiling of the inflow zone.