Selective endovascular aneurysm neck ligation to treat compressive cranial neuropathy

To report a novel endovascular coiling technique for ligation of aneurysms presenting with cranial neuropathy.

We describe three patients (all female, median age: 57) presenting with unruptured, mass effect producing, aneurysms. All three were treated with coiling of the aneurysm inflow zone without deploying coils in the dome or fundus. Their clinical manifestations, the radiologic features of the aneurysms, and details of endovascular inflow zone ligation are presented.

Clinical and radiological improvement was seen in all three patients after 6-12 months follow-up.

This technique may be considered in patients presenting with compressive cranial neuropathy and an aneurysm configuration that allows selective coiling of the inflow zone.