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KMID : 0382619930130010363
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Hanyang Journal of Medicine
1993 Volume.13 No. 1 p.363 ~ p.374
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CLINICAL ANALYSIS OF OCULOMOTOR NERVE PALSY DUE TO SUBARACHNOID HEMORRHAGE
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Abstract
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84 cases of internal carotid-posterior communicating artery (P-com) aneurysm out of 81 patient operated at the Hanyang university hopital were analysed to study the incidence, casung factors and prognosis of oculomotor nerve palsy occured in 26
cases
(31.0%) : total palsy in 18 cases (73.1%), partial palsy in 7 cases (28.9%)
2) the incidence of oculomotor nerve palsy seemed higher in aneurysms which was large, lobulated and especially in posterolateral inferior direction. But there was no relationship between amount of subarachniod hemorrhage and oculomotor nerve
palsy
development.
3) 15 cases(57.7%) of oculomotor nerve palsy recovered competely and 7 cases (26.9%) recovered partially and 4 cases (15.3%) showed no improvement at all.
4) The important prognostic factors in recovery were preoperative severity of oculomotor nerve paly and timing of oculomotor nerve palsy development. The recovery rate was improved by early aneursym operation.
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KEYWORD
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