Hishikawa Tomohito, Date Isao
Department of Neurological Surgery, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Sciences.
Neurol Med Chir (Tokyo). 2017 Jun 15;57(6):247-252. doi: 10.2176/nmc.ra.2016-0286. Epub 2017 Apr 19.
The prevalence of unruptured cerebral aneurysms (UCAs) in elderly patients is increasing in our aging population. UCA management in elderly patients has some difficulties, such as reduced life expectancy, increased comorbidities and treatment risks, and poor prognosis in case of rupture. In this review article, we summarize the most recent findings on the natural history, therapeutic options and treatment results for UCAs exclusively in elderly patients, and describe possible medical treatments for patients with UCAs.
在老龄化人口中,老年患者未破裂脑动脉瘤(UCA)的患病率正在上升。老年患者的UCA管理存在一些困难,如预期寿命缩短、合并症和治疗风险增加,以及破裂时预后不良。在这篇综述文章中,我们专门总结了老年患者UCA自然史、治疗选择和治疗结果的最新发现,并描述了UCA患者可能的药物治疗方法。