Table 2: Hoz case series of oculomotor nerve involvement after intracisternal papaverine administration during anterior communicating artery aneurysm clipping surgery.
|
Age (Years) |
Gender |
Presentation |
Radiological Findings |
Direction of the Aneurysm |
Cisternostomy and Lamina Terminalis Fenestration |
Papaverine Dose |
Post-Operative Complications |
Time to Resolution |
Outcome at Discharge |
Case 1 |
46 |
Male |
Headache, Vomiting
|
SAH and ICH |
Superiorly |
No |
2 mL of Papaverine 3% diluted in 20 mL Saline |
Ipsilateral Mydriasis |
4 hours |
Good |
Case 2 |
43 |
Male |
Headache, Seizures, Decreased LOC |
SAH and ICH |
Anteriorly |
No |
2 mL of Papaverine 3% diluted in 20 mL Saline |
IpsilateralMydriasis |
4 hours |
Good |
Case 3 |
41 |
Female |
Headache, Vomiting |
SAH |
Superiorly |
No |
2 mL of Papaverine 3% diluted in 20 mL Saline |
Ipsilateral Mydriasis |
12 hours |
Good |
Case 4 |
35 |
Female |
Headache, Vomiting, Decreased LOC |
SAH |
Anteriorly |
No |
2 mL of Papaverine 3% diluted in 10 mL Saline |
Ipsilateral Mydriasis |
12 hours |
Good |
Case 5 |
39 |
Female |
Decreased LOC |
SAH |
Anteriorly |
No |
2 mL of Papaverine 3% diluted in 10 mL Saline |
Dilation in the Bilateral Pupils with Transient Hypotension |
10 hours 2 days for Blood Pressure Normalization |
Good |