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Titolo:
"De novo" formation ed intracranial aneurysms: who is at risk?
Autore:
Tonn, JC; Hoffmann, O; Hofmann, E; Schlake, HP; Sorensen, N; Roosen, K;
Indirizzi:
Univ Wurzburg, Dept Neurosurg, D-97080 Wurzburg, Germany Univ Wurzburg Wurzburg Germany D-97080 rosurg, D-97080 Wurzburg, Germany Univ Appl Sci, Sect Med Informat, Giessen, Germany Univ Appl Sci GiessenGermany Sci, Sect Med Informat, Giessen, Germany Univ Wurzburg, Div Neuroradiol, D-97080 Wurzburg, Germany Univ Wurzburg Wurzburg Germany D-97080 radiol, D-97080 Wurzburg, Germany
Titolo Testata:
NEURORADIOLOGY
fascicolo: 9, volume: 41, anno: 1999,
pagine: 674 - 679
SICI:
0028-3940(199909)41:9<674:"NFEIA>2.0.ZU;2-O
Fonte:
ISI
Lingua:
ENG
Soggetto:
CRANICAL SACCULAR ANEURYSMS; SUBARACHNOID HEMORRHAGE; DENOVO ANEURYSMS; CIGARETTE-SMOKING; CEREBRAL ANEURYSM; ARTERY ANEURYSM; NATURAL-HISTORY; GROWTH; HYPERTENSION; RUPTURE;
Keywords:
aneurysm, intracranial; haemorrhage, subarachnoid; aneurysm, de novo; risk factors;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
42
Recensione:
Indirizzi per estratti:
Indirizzo: Tonn, JC Univ Wurzburg, Dept Neurosurg, Josef Schneider Str 11, D-97080 Wurzburg, Germany Univ Wurzburg Josef Schneider Str 11 Wurzburg Germany D-97080 ny
Citazione:
J.C. Tonn et al., ""De novo" formation ed intracranial aneurysms: who is at risk?", NEURORADIOL, 41(9), 1999, pp. 674-679

Abstract

Although aneurysms are widely considered to be of congenital origin there is still debate as to whether some at least might be formed de novo during life. A review of all 49 reported cases plus one previously unpublished case reveals common clinical features and might aid in the management of this group of patients. Statistical analysis of all 50 cases of de novo aneurysms discloses a more frequent history of smoking (P = 0.0007) and arterial hypertension (P = 0.0026) than in a control cohort. Patients with de novo aneurysms are younger (P < 0.0001); the proportion with multiple aneurysms was28 %. Of de novo aneurysms 44 % became symptomatic 3-6 years after the first subarachnoid haemorrhage (SAH), and the interval was significantly shorter in hypertensive patients. We suggest that young patients with a history of SAH and arterial hypertension and nicotine abuse should therefore be considered for conventional angiography after a 5-year interval. MRA might notbe useful due to clip artefacts from even nonferromagnetic clips. Close control of blood pressure is essential in these patients.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 07/07/20 alle ore 06:20:22