过去两个世纪的大脑动脉瘤的趋势:需要早期查
Arjun Burlakoti1,2, Jaliya Kumaratilake2, Jamie Taylor3
1Human Anatomy, University of South Australia, Adelaide, South Australia, Australia arjun.burlakoti@unisa.edu.au.
BMJ open
|February 28, 2024
概括
大脑动脉瘤 (CA) 在260年内在年龄,性别和位置上表现出一致的模式,表明早期中风的风险. 建议早期查大脑基础动脉网络 (CBAN) 变异,以预防中风.
科学领域:
- 神经学 神经学
- 血管外科 血管外科
- 放射学 放射学是一门学科.
背景情况:
- 大脑动脉瘤 (CA) 与大脑基底动脉网络 (CBAN) 的变化有关.
- 了解CA发生的时间模式对于有效的查和预防策略至关重要.
研究的目的:
- 确定查最佳年龄,以检测大脑动脉变异.
- 根据历史和当前的数据,预测破裂前脑动脉瘤的风险.
主要方法:
- 一项观察性,定量和回顾性研究分析了1761-1938年间的1127例CA病例.
- 在CBAN中审查了皇家阿德莱德医院 (2011-2019) 173名患者的CT血管图像,以确定动脉瘤的存在和位置.
主要成果:
- 在CBAN中,CA的性别,年龄和位置的分布模式从1761年到2019年保持一致.
- 大约11.5%的CA发生在20岁以下的患者中.
- 内动脉,中脑和前沟通动脉复杂区域显示出动脉瘤的患病率最高 (76-94%).
结论:
- 几个世纪以来CA的一致分布模式凸显了持续的中风风险,即使在年轻人中也是如此.
- 建议早期查CBAN的变异,以预防中风.
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