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