Abstract | OBJECT: METHODS: The authors interviewed patients in whom an unruptured aneurysm was treated by clipping (32 cases) or endovascular coiling (26 cases) as well as patients with SAH who underwent coil therapy (32 cases). A geographically defined subset of 20 patients per group was invited to undergo olfactory testing. RESULTS: Nine clip-treated patients (28% [95% CI 14-47%]) in the unruptured group reported having anosmia, and no coil-treated patient in the unruptured group (95% [CI 0-13%]) reported having anosmia; in the SAH group, 7 patients (22% [95% CI 9-40%]) reported having anosmia. Anosmia had improved over time in 3 of the clip-treated patients and in all but 1 of the patients with SAH. Examination revealed olfactory disturbance in 13 (65% [95% CI 41-85%]) of the clip-treated and 8 (42% [95% CI 20-67%]) of the coil-treated patients with unruptured aneurysms, and also in 7 (35% [95% CI 15-59%]) coil-treated patients with SAH. In 20 patients who underwent clip therapy for unruptured aneurysms, 19 (95% [95% CI 75-100%]) had olfactory dysfunction on the side ipsilateral to surgery ( anosmia reported by 8 of them). CONCLUSIONS: Both clip treatment and SAH contribute to the occurrence of anosmia, with different chances of improvement. Olfactory dysfunction occurs in almost all patients on the side of surgery and can occur subclinically after coil deployment.
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Authors | Maaike R Moman, Bon H Verweij, Joeri Buwalda, Gabriël J E Rinkel |
Journal | Journal of neurosurgery
(J Neurosurg)
Vol. 110
Issue 3
Pg. 482-6
(Mar 2009)
ISSN: 0022-3085 [Print] United States |
PMID | 19072311
(Publication Type: Journal Article)
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Topics |
- Adult
- Aged
- Aneurysm, Ruptured
(surgery)
- Female
- Humans
- Intracranial Aneurysm
(surgery)
- Male
- Middle Aged
- Olfaction Disorders
(etiology)
- Postoperative Complications
- Subarachnoid Hemorrhage
(complications)
- Vascular Surgical Procedures
(methods)
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