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§ | 2 | |
IV | 1 | ||
VI | 2¶ | ||
Multiple OMNPs | 3 | ||
Trigeminal sensory neuropathy | 3 | ||
Headache | 2 | ||
Died; no evidence of improvement | 4 |