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- W2376432063 abstract "Objective:To investigate the surgical nuances,complications and predictors of outcome in surgical management of intracranial carotid cave aneurysms.Methods:Twenty-five patients of carotid cave aneurysm treated surgically at our institution were included.Medical records,imaging studies,surgical techniques,and clinical outcomes were reviewed retrospectively.Results:The mean age in our series was 50.2years(range:35-72years).There was a female preponderance(female∶ male ratio=2.57∶1).Sudden headache was the most common manifestation(64.0%),followed by visual impairment(28.0%).There were respectively 2,5,5,and 4case in Hunt-Hess gradeⅠ,Ⅱ,Ⅲ,and Ⅳ.Pterional approach combined with extradural anterior clinoidectomy was employed to surgical occlude carotid cave aneurysms.All of them were clipped successfully.The complications included hemiplegia(8.0%),oculomotor palsy(20.0%),visual deficit(8.0%),and wound infection(4.0%).At a follow up(range 6-36months),18patients(72.0%)had no deficits,3cases(12.0%)were mildly disabled,4cases(16.0%)were severely disabled.Outcome assessment indicated that old age and poor grade were negative predictors of outcome(P0.05).Conclusion:Surgical clipping is an effective treatment for carotid cave aneurysms.Excellent exposure is helpful to improve clinical outcome." @default.
- W2376432063 created "2016-06-24" @default.
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- W2376432063 date "2015-01-01" @default.
- W2376432063 modified "2023-09-25" @default.
- W2376432063 title "Microsurgical Management of Carotid Cave Aneurysm" @default.
- W2376432063 hasPublicationYear "2015" @default.
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