{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:48:27Z","timestamp":1791938907931,"version":"4.3.4"},"reference-count":11,"publisher":"Journal of Neurosurgery Publishing Group (JNSPG)","issue":"15","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Neurosurg Case Lessons"],"published-print":{"date-parts":[[2026,10,12]]},"abstract":"<jats:sec>\n                    <jats:title>BACKGROUND<\/jats:title>\n                    <jats:p>Recovery of oculomotor nerve palsy (ONP) caused by an unruptured intracranial aneurysm has been reported after microsurgical clipping and endovascular coiling. However, ONP recovery following treatment with the Woven EndoBridge (WEB) device has not previously been described.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>OBSERVATIONS<\/jats:title>\n                    <jats:p>A woman in her late 80s with a known left basilar artery\u2013superior cerebellar artery (SCA) junction aneurysm, initially managed conservatively because of advanced age, developed progressive left incomplete ONP with ptosis and impaired extraocular movement after aneurysm enlargement. MRI demonstrated an enlarging 10-mm aneurysm with an enhancing apical bleb. Initial WEB SL deployment failed, but balloon-assisted deployment with Neuroform Atlas stent stabilization enabled successful WEB placement while preserving the SCA. The postoperative course was uneventful, and the patient was discharged on postoperative day 4. Complete ONP resolution was achieved at 1 month. A 3-month angiography study demonstrated WEB Occlusion Scale grade C with preserved SCA patency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>LESSONS<\/jats:title>\n                    <jats:p>WEB treatment may be an effective option for selected symptomatic aneurysms. Flow disruption while preserving the aneurysm dome adjacent to the oculomotor nerve may have contributed to the complete recovery of ONP.<\/jats:p>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" ext-link-type=\"uri\" xlink:href=\"https:\/\/thejns.org\/doi\/10.3171\/CASE26637\">https:\/\/thejns.org\/doi\/10.3171\/CASE26637<\/jats:ext-link>\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3171\/case26637","type":"journal-article","created":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T00:01:23Z","timestamp":1791331283000},"source":"Crossref","is-referenced-by-count":0,"title":["Recovery of oculomotor nerve palsy following Woven EndoBridge treatment for a symptomatic basilar artery\u2013superior cerebellar artery junction aneurysm: illustrative case"],"prefix":"10.3171","volume":"12","author":[{"given":"Yuji","family":"Agawa","sequence":"first","affiliation":[{"name":"Department of Neurosurgery, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taketo","family":"Hatano","sequence":"additional","affiliation":[{"name":"Department of Neurosurgery, Kokura Memorial Hospital, Kitakyushu, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1754","reference":[{"issue":"6","key":"bib1","series-title":"Neurosurgery","first-page":"1527","article-title":"Posterior communicating artery aneurysm-related oculomotor nerve palsy: influence of surgical and endovascular treatment on recovery: single-center series and systematic review","volume":"68","author":"G\u00fcresir","year":"2011","unstructured":"G\u00fcresir ESchuss PSetzer MPlatz JSeifert VVatter H.Posterior communicating artery aneurysm-related oculomotor nerve palsy: influence of surgical and endovascular treatment on recovery: single-center series and systematic review. Neurosurgery. 2011;68(6):1527-1533. doi:10.1227\/NEU.0b013e31820edd82"},{"issue":"4","key":"bib2","series-title":"Interv Neuroradiol","first-page":"415","article-title":"Oculomotor nerve palsy caused by posterior communicating artery aneurysm: evaluation of symptoms after endovascular treatment","volume":"17","author":"Ko","year":"2011","unstructured":"Ko JHKim YJ.Oculomotor nerve palsy caused by posterior communicating artery aneurysm: evaluation of symptoms after endovascular treatment. Interv Neuroradiol. 2011;17(4):415-419. doi:10.1177\/159101991101700403"},{"key":"bib3","series-title":"World Neurosurg","first-page":"498","article-title":"Clipping versus coiling in the management of posterior communicating artery aneurysms with third nerve palsy: a systematic review and meta-analysis","volume":"87","author":"Gaberel","year":"2016","unstructured":"Gaberel TBorha Adi Palma CEmery E.Clipping versus coiling in the management of posterior communicating artery aneurysms with third nerve palsy: a systematic review and meta-analysis. World Neurosurg. 2016;87:498-506.e4. doi:10.1016\/j.wneu.2015.09.026"},{"key":"bib4","series-title":"Surg Neurol Int","first-page":"277","article-title":"Cranial nerve palsies and intracranial aneurysms: a narrative review of patterns and outcomes","volume":"15","author":"Hoz","year":"2024","unstructured":"Hoz SSMa LMuthana ACranial nerve palsies and intracranial aneurysms: a narrative review of patterns and outcomes. Surg Neurol Int. 2024;15:277. doi:10.25259\/SNI_531_2024"},{"key":"bib5","series-title":"World Neurosurg","first-page":"102","article-title":"Endovascular coil embolization with low-profile visualized intraluminal support junior stent for ruptured dissecting aneurysm of proximal superior cerebellar artery: case report and literature review","volume":"122","author":"Onishi","year":"2019","unstructured":"Onishi SSakamoto SSadatomo TEndovascular coil embolization with low-profile visualized intraluminal support junior stent for ruptured dissecting aneurysm of proximal superior cerebellar artery: case report and literature review. World Neurosurg. 2019;122:102-105. doi:10.1016\/j.wneu.2018.10.137"},{"issue":"6","key":"bib6","series-title":"Neurosurgery","first-page":"661","article-title":"Superior cerebellar artery aneurysm presenting as an oculomotor nerve palsy in a child","volume":"6","author":"Vincent","year":"1980","unstructured":"Vincent FMZimmerman JE.Superior cerebellar artery aneurysm presenting as an oculomotor nerve palsy in a child. Neurosurgery. 1980;6(6):661-664. doi:10.1227\/00006123-198006000-00010"},{"issue":"7","key":"bib7","series-title":"Ophthalmology","first-page":"1071","article-title":"Intracranial aneurysms with superior division paresis of the oculomotor nerve","volume":"96","author":"Guy","year":"1989","unstructured":"Guy JRDay AL.Intracranial aneurysms with superior division paresis of the oculomotor nerve. Ophthalmology. 1989;96(7):1071-1076. doi:10.1016\/S0161-6420(89)32782-5"},{"issue":"4","key":"bib8","series-title":"Neurosurg Rev","first-page":"307","article-title":"Rate of third nerve palsy recovery following endovascular management of cerebral aneurysms","volume":"30","author":"Bulsara","year":"2007","unstructured":"Bulsara KRJackson DGalvan GM.Rate of third nerve palsy recovery following endovascular management of cerebral aneurysms. Neurosurg Rev. 2007;30(4):307-310. doi:10.1007\/s10143-007-0089-1"},{"issue":"5","key":"bib9","series-title":"AJNR Am J Neuroradiol","first-page":"868","article-title":"Endovascular treatment of intracranial aneurysms with the WEB device: a systematic review of clinical outcomes","volume":"37","author":"Armoiry","year":"2016","unstructured":"Armoiry XTurjman FHartmann DJEndovascular treatment of intracranial aneurysms with the WEB device: a systematic review of clinical outcomes. AJNR Am J Neuroradiol. 2016;37(5):868-872. doi:10.3174\/ajnr.A4611"},{"issue":"12","key":"bib10","series-title":"AJNR Am J Neuroradiol","first-page":"2287","article-title":"Efficacy and safety of the Woven EndoBridge (WEB) device for the treatment of intracranial aneurysms: a systematic review and meta-analysis","volume":"37","author":"Asnafi","year":"2016","unstructured":"Asnafi SRouchaud APierot LBrinjikji WMurad MHKallmes DF.Efficacy and safety of the Woven EndoBridge (WEB) device for the treatment of intracranial aneurysms: a systematic review and meta-analysis. 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Surg Neurol. 1994;42(6):505-516. doi:10.1016\/0090-3019(94)90081-7"}],"container-title":["Journal of Neurosurgery: Case Lessons"],"original-title":[],"link":[{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26637.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26637.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thejns.org\/downloadpdf\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26637.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T00:00:42Z","timestamp":1791936042000},"score":1,"resource":{"primary":{"URL":"https:\/\/thejns.org\/view\/journals\/j-neurosurg-case-lessons\/12\/15\/article-CASE26637.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":11,"journal-issue":{"issue":"15"},"URL":"https:\/\/doi.org\/10.3171\/case26637","relation":{},"ISSN":["2694-1902"],"issn-type":[{"value":"2694-1902","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]}}}