World Neurosurg
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To report the ophthalmologic outcome of 13 patients with posterior communicating artery aneurysms (PcomAAs) associated with oculomotor nerve palsy (ONP), treated by endovascular embolization (coiling). ⋯ Endovascular treatment is highly efficacious in treating ONP-associated PcomAAs. Partial palsy, early treatment, and an association with SAH seem to promote recovery.
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Review Meta Analysis
Emergency reversal of antiplatelet agents in patients presenting with an intracranial hemorrhage: a clinical review.
Prehospital use of antiplatelet agents has been associated with an increased risk for intracranial hemorrhage (ICH) as well as a secondary increase in ICH volume after the initial hemorrhage. Strategies to reestablish platelet aggregation are used in clinical practice, but without any established guidelines or recommendations. This article serves to evaluate the literature regarding "reversal" of antiplatelet agents in neurosurgical populations. ⋯ The data assessing the relationship between outcome and prehospital antiplatelet agents in the setting of ICH is conflicting in both the trauma and the stroke literature. Only one retrospective review specifically addressed outcomes after attempted reversal with platelet transfusion. Further study is needed to determine whether platelet transfusion ameliorates hematoma enlargement and/or improves outcome in the setting of acute ICH.