Grochowski Cezary, Litak Jakub, Kulesza Bartłomiej, Szmygin Paweł, Ziemianek Dominik, Kamieniak Piotr, Szczepanek Dariusz, Rola Radosław, Trojanowski Tomasz
Neurosurgery and Pediatric Neurosurgery Department in Lublin, Medical University of Lublin, Poland.
Neurosurgery and Pediatric Neurosurgery Department in Lublin, Medical University of Lublin, Poland.
J Clin Neurosci. 2018 Feb;48:181-184. doi: 10.1016/j.jocn.2017.10.064. Epub 2017 Oct 31.
The purpose of this study was to investigate the impact of size and location of the intracranial aneurysm on rupture probability.
265 patients with diagnosis of intracranial aneurysms were admitted to the department from January 2012 to December 2013. The characteristic of aneurysm, such as median size, location, single and multiple aneurysms and presentation were retrospectively reviewed using cerebral angiography reports.
There were 265 patients admitted with the diagnosis of intracranial aneurysms, 193 with single and 72 with multiple aneurysms. Among them there were 197 women (74,3%) and 68 men (25,7%). The total number of aneurysms harbored by the patients with multiple aneurysms were 184. Among all patients 96 had ruptured aneurysm, most of them located at the AComA and the minority of ruptured aneurysms were located at the ICA and MCA, In most cases the size of ruptured aneurysm was smaller than 10 mm.
The location of an aneurysm is an important factor allowing to predict the rupture probability and to plan proper treatment. The size of the aneurysm is also very useful predictor especially correlated with the location but the impact on rupture probability still needs further examination.
本研究旨在探讨颅内动脉瘤的大小和位置对破裂概率的影响。
2012年1月至2013年12月，265例颅内动脉瘤诊断患者入住该科室。利用脑血管造影报告对动脉瘤的特征进行回顾性分析，包括中位大小、位置、单发和多发动脉瘤以及临床表现。
265例颅内动脉瘤诊断患者中，单发动脉瘤193例，多发动脉瘤72例。其中女性197例（74.3%），男性68例（25.7%）。多发动脉瘤患者共携带动脉瘤184个。所有患者中96例动脉瘤破裂，其中大部分位于前交通动脉，少数破裂动脉瘤位于颈内动脉和大脑中动脉，多数情况下破裂动脉瘤大小小于10毫米。
动脉瘤的位置是预测破裂概率和规划适当治疗的重要因素。动脉瘤大小也是非常有用的预测指标，尤其是与位置相关，但对破裂概率的影响仍需进一步研究。
