Giant intracranial aneurysms: morphology and clinical presentation

被引：13

作者：

Tostes dos Santos, Marcio L. ^{[1
,5
]}

Spotti, Antonio Ronaldo ^{[1
]}

Tostes dos Santos, Rosangela M. ^{[2
]}

Borges, Moacir Alves ^{[1
]}

Ferrari, Antonio Fernandes ^{[3
]}

Colli, Benedicto Oscar ^{[4
]}

Tognola, Waldir Antonio ^{[1
]}

机构：

[1] Med Sch Sao Jose do Rio Preto, Dept Neurol Sci, Sao Jose Do Rio Preto, SP, Brazil

[2] Neuropsychol Diagnost & Treatment Ctr, Sao Jose Do Rio Preto, SP, Brazil

[3] Med Sch Presidente Prudente, Dept Neurosurg, Presidente Prudente, SP, Brazil

[4] Univ Sao Paulo, Div Neurosurg, Dept Surg, Med Sch Ribeirao Preto, BR-14049 Ribeirao Preto, SP, Brazil

[5] Hosp Base Sao Jose do Rio Preto, Unit Vasc & Endovasc Neurosurg, Serv Neurosurg, BR-15090000 Sao Jose Do Rio Preto, SP, Brazil

来源：

NEUROSURGICAL REVIEW | 2013年 / 36卷 / 01期

关键词：

Giant intracranial aneurysm; Morphology; Clinical presentation; NATURAL-HISTORY; SACCULAR ANEURYSMS; RISK-FACTORS; MANAGEMENT;

D O I：

10.1007/s10143-012-0407-0

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

The purpose of this study was to correlate the morphology of giant intracranial aneurysms (GIA) with their clinical presentation. Eighty patients with GIA, 14 males and 66 females, were studied. Univariate and multivariate analyses were made to test the associations between morphological and clinical features. The main locations of the unruptured GIA included the carotid cavernous segment, and for the ruptured GIA, the most frequent were the carotid supraclinoid and middle cerebral arteries. There was a significant association among communicating arteries (CA) of "bad" quality and presence of thrombus and calcification (TC). The risk of rupture is 8 times higher in patients with CA of "bad" quality and 11 times higher in patients without TC. GIA are more frequent in the cavernous segment. There is a high rupture risk in the middle cerebral artery. CA of "bad" quality are associated with TC. The rupture risk is significantly higher in patients without TC.

引用

页码：117 / 122

页数：6

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