• T Horikoshi, H Nukui, T Yagishita, K Nishigaya, I Fukasawa, and H Sasaki.
• Department of Neurosurgery, Yamanashi Medical University, Tamaho, Japan.
• Neurosurgery. 1999 Apr 1;44(4):705-10; discussion 710-1.

ObjectiveThe goals of this study were to evaluate the relationship between postoperative oculomotor nerve palsy and other clinical factors and to improve preoperative estimations of the risk. Such an evaluation has not been previously described in the literature.MethodsPatient records for 77 basilar tip aneurysm cases and 28 basilar superior cerebellar artery aneurysm cases treated between 1981 and 1997 were reviewed. Clinical and radiological parameters were separately analyzed using the chi2 test, and then multiple-regression analysis was used.ResultsPostoperative oculomotor palsy occurred in 25 (32%) patients with basilar tip aneurysms and 11 (39%) patients with basilar superior cerebellar artery aneurysms, in addition to 2 patients with basilar tip aneurysms and 3 patients with basilar superior cerebellar artery aneurysms who exhibited oculomotor palsy before surgery. For both type of aneurysms, the size and direction of the aneurysms were closely related to oculomotor nerve palsy. The complication also tended to occur in early surgery cases, in younger patients, and in patients of poor-clinical grade status.ConclusionIn this study, some clinical and radiological factors were found to be associated with postoperative oculomotor nerve palsy.

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