rss
J Neurol Neurosurg Psychiatry 75:863-867 doi:10.1136/jnnp.2003.020917
  • Paper

Long term visual and neurological prognosis in patients with treated and untreated cavernous sinus aneurysms

Table 3

Follow up data

Total (n = 31) Observation (n = 10) Surgery (n = 21)
*Does not include one patient who died two months after diagnosis.
†Numbers in brackets in the observation and surgery columns refer to the percentage of the total number of patients in the first column.
‡Numbers of patients in surgery column experiencing an improvement or worsening is greater than the total number because several patients experienced improvement or worsening in more than one symptom.
§One patient experienced worsening of CIII nerve palsy and developed a new ipsilateral CVI nerve palsy and a trigeminal sensory neuropathy.
¶One patient experienced worsening of CVI nerve palsy and developed a new headache.
CCA, cavernous sinus aneurysm; CCF, carotid–cavernous sinus fistula; HA, headache; N/A, not applicable; OMNP, oculomotor nerve palsy.
Range (years) 3.5 to 35* 3.5 to 24* 3.5 to 35
    Mean (SD) 12.2 (7.6)* 10.6 (7.1)* 12.9 (7.8)
    Median 10.3* 7* 11
Died during follow up period 12 7 5
Indications for surgery
    Worsening of symptoms 10
    New onset HA with stable diplopia 1
Complications of surgery N/A 6
    None 15
    Immediate 6
    Transient (neurological deficit) 2
    Permanent 4
        Stroke 1
        Acute ophthalmoparesis 2
        Visual loss 1
    Delayed 3
        New contralateral CCA 2
        CCF 1
Status at end of follow up period
    Improved 0 8 (38%)†‡
    Ophthalmoparesis
    Isolated OMNP
        III 3
        IV
        VI 5
    Multiple OMNPs
    Trigeminal sensory neuropathy 2
    Headache 1
Stable 2 (33%)† 5 (24%)
Worse 4 (67%) 8 (38%)
    Ophthalmoparesis
    Isolated OMNP
        III 2
        IV 1
        VI
    Multiple OMNPs 3
    Trigeminal sensory neuropathy 3
    Headache 2
Died; no evidence of improvement 4

This Article

Latest from Practical Neurology

Latest from Practical Neurology

Free sample
This recent issue is free to all users to allow everyone the opportunity to see the full scope and typical content of JNNP.
View free sample issue >>

Don't forget to sign up for content alerts so you keep up to date with all the articles as they are published.

  • BMJ Careers - Latest Neurology and Neurosurgery jobs

    Latest neurology and neurosurgery jobs