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中东地区脑动脉瘤的低发病率:这是个神话吗?

The low incidence of cerebral aneurysms in the Middle East: is it a myth?

作者信息

al-Mefty O, al-Rodhan N, Fox J L

机构信息

University of Mississippi Medical Center, Jackson.

出版信息

Neurosurgery. 1988 May;22(5):951-4.

PMID:3380288
Abstract

It is common belief that there is a relatively low incidence of cerebral aneurysm in the Middle East; however, there are neither routine autopsy studies nor reliable public health data to confirm this impression. We analyzed the clinical data of all patients admitted with a diagnosis of nontraumatic subarachnoid hemorrhage to the King Faisal Specialist Hospital, a modern tertiary medical center in Riyadh, Saudi Arabia. These data were compared with reports from other countries. Although environmental or inherited factors may predispose to a lower incidence of intracranial aneurysm in the Middle East, the true incidence is higher and is not apparent because of the previous referral system for medical care. Medical facilities and expertise are rapidly improving, and future studies undoubtedly will show a higher incidence of intracranial aneurysm.

摘要

人们普遍认为中东地区脑动脉瘤的发病率相对较低;然而,既没有常规尸检研究,也没有可靠的公共卫生数据来证实这一印象。我们分析了所有因非创伤性蛛网膜下腔出血诊断而入住沙特阿拉伯利雅得一家现代化三级医疗中心——法赫德国王专科医院的患者的临床数据。这些数据与其他国家的报告进行了比较。尽管环境或遗传因素可能使中东地区颅内动脉瘤的发病率较低,但由于以前的医疗转诊系统,实际发病率更高且不明显。医疗设施和专业知识正在迅速改善,未来的研究无疑将显示颅内动脉瘤的发病率更高。

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引用本文的文献

1
Aneurysmal Subarachnoid Hemorrhage: Geography has a Role.动脉瘤性蛛网膜下腔出血:地理位置起一定作用。
Asian J Neurosurg. 2018 Jul-Sep;13(3):669-673. doi: 10.4103/ajns.AJNS_301_16.
2
Aneurysmal subarachnoid hemorrhage affects the younger age groups in a Saudi academic center.在沙特的一个学术中心,动脉瘤性蛛网膜下腔出血在较年轻人群中更为常见。
Ann Saudi Med. 2015 Jan-Feb;35(1):36-40. doi: 10.5144/0256-4947.2015.36.
3
Spontaneous subarachnoid haemorrhage and ruptured aneurysms in the Middle East. A myth revisited.中东地区的自发性蛛网膜下腔出血和破裂动脉瘤:再探一个迷思
Acta Neurochir (Wien). 1992;114(1-2):20-5. doi: 10.1007/BF01401109.
4
Pattern of subarachnoid haemorrhage in Saudi Arabia.沙特阿拉伯蛛网膜下腔出血的模式。
Acta Neurochir (Wien). 1992;114(1-2):16-9. doi: 10.1007/BF01401108.