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[Intracranial aneurysm in Taiwan]

S L Howng1, T P Hung, A L Kwan

  • 1Department of Surgery, Kaohsiung Medical College Hospital, Taiwan, R.O.C.

Journal of the Formosan Medical Association = Taiwan Yi Zhi
|December 1, 1995
PubMed
Summary
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Ruptured intracranial aneurysms are common in Taiwan, with specific demographic and site predilections. Early diagnosis and aggressive treatment are crucial due to high mortality and morbidity rates.

Area of Science:

  • Neurology
  • Epidemiology
  • Neurosurgery

Context:

  • Intracranial aneurysms represent a significant cause of subarachnoid hemorrhage.
  • Data on the epidemiology and clinical features of ruptured intracranial aneurysms in Taiwan are limited.
  • Understanding these features is vital for improving patient outcomes.

Purpose:

  • To review the epidemiologic and clinical characteristics of ruptured intracranial aneurysms in Taiwan.
  • To analyze patient demographics, aneurysm locations, and treatment modalities.
  • To assess survival rates and prognostic factors.

Summary:

  • A review of 600 intracranial aneurysm cases in Taiwan revealed a male-to-female ratio of 0.68:1 and a mean age of onset in the mid-50s.
  • Common aneurysm sites included the anterior communicating artery (26.7%) and posterior communicating artery (22.0%).

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  • Survival rates at 1 year were 43.6%, with prognosis linked to the World Federation of Neurological Societies Subarachnoid Hemorrhage Scale score.

    • Impact:

    • Highlights an underestimation of intracranial aneurysm cases among subarachnoid hemorrhage patients in Taiwan.
    • Emphasizes the need for prompt and accurate diagnosis to mitigate high mortality and morbidity.
    • Provides crucial data for neurosurgical and neurological interventions in the region.