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Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population
INTRODUCTION: Aneurysmal subarachnoid hemorrhage (SAH) is a devastating event with a high rate of morbidity and mortality. With the improvement of diagnostic modalities and the adoption of different screening strategies, more aneurysms are being diagnosed prior to rupture. Based on large multi-cente...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Medknow Publications & Media Pvt Ltd
2014
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323962/ https://www.ncbi.nlm.nih.gov/pubmed/25685215 http://dx.doi.org/10.4103/1793-5482.146600 |
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author | Al-Jehani, Hosam Najjar, Ahmad Sheikh, Bassem Y. |
author_facet | Al-Jehani, Hosam Najjar, Ahmad Sheikh, Bassem Y. |
author_sort | Al-Jehani, Hosam |
collection | PubMed |
description | INTRODUCTION: Aneurysmal subarachnoid hemorrhage (SAH) is a devastating event with a high rate of morbidity and mortality. With the improvement of diagnostic modalities and the adoption of different screening strategies, more aneurysms are being diagnosed prior to rupture. Based on large multi-center trials, size has become the most important determinant of treatment decisions. Unfortunately, these studies did not take into account the regional and racial variations, challenging the generalizability of their results. MATERIAL AND METHODS: We conducted a retrospective analysis on a series of 192 patients harboring 213 aneurysms. RESULTS: The critical finding in our study is that the majority of patients presenting with SAH due to ruptured aneurysms are <10 mm in size. CONCLUSION: Decision to treatment of a given unruptured intracranial aneurysm should be individually assessed and not taken from general international literature as this may mistakenly apply factors from one population to another. |
format | Online Article Text |
id | pubmed-4323962 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Medknow Publications & Media Pvt Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-43239622015-02-13 Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population Al-Jehani, Hosam Najjar, Ahmad Sheikh, Bassem Y. Asian J Neurosurg Original Article INTRODUCTION: Aneurysmal subarachnoid hemorrhage (SAH) is a devastating event with a high rate of morbidity and mortality. With the improvement of diagnostic modalities and the adoption of different screening strategies, more aneurysms are being diagnosed prior to rupture. Based on large multi-center trials, size has become the most important determinant of treatment decisions. Unfortunately, these studies did not take into account the regional and racial variations, challenging the generalizability of their results. MATERIAL AND METHODS: We conducted a retrospective analysis on a series of 192 patients harboring 213 aneurysms. RESULTS: The critical finding in our study is that the majority of patients presenting with SAH due to ruptured aneurysms are <10 mm in size. CONCLUSION: Decision to treatment of a given unruptured intracranial aneurysm should be individually assessed and not taken from general international literature as this may mistakenly apply factors from one population to another. Medknow Publications & Media Pvt Ltd 2014 /pmc/articles/PMC4323962/ /pubmed/25685215 http://dx.doi.org/10.4103/1793-5482.146600 Text en Copyright: © Asian Journal of Neurosurgery http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Al-Jehani, Hosam Najjar, Ahmad Sheikh, Bassem Y. Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title | Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title_full | Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title_fullStr | Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title_full_unstemmed | Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title_short | Determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the Saudi population |
title_sort | determining the critical size of intracranial aneurysm predisposing to subarachnoid hemorrhage in the saudi population |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4323962/ https://www.ncbi.nlm.nih.gov/pubmed/25685215 http://dx.doi.org/10.4103/1793-5482.146600 |
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