Size and Location of Ruptured Intracranial Aneurysms: A 5-Year Clinical Survey

Froelich, Jens J.; Neilson, Samuel; Peters-Wilke, Jens; Dubey, Arvind Kumar; Thani, Nova; Erasmus, Albert; Carr, Michael W.; Hunn, Andrew

doi:10.1016/j.wneu.2016.04.044

Cited by 40 publications

(22 citation statements)

References 25 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…With respect to the above-mentioned preceding investigations, our patient sample is in line with the main epidemiological SAH characteristics and, therefore, representative. A total of 78.5% of our patients suffered from bleeding as a result of an aneurysm located at the anterior cerebral circulation with a mean aneurysm size of 5.9 ± 3.2 mm, which is in line with other studies [2,19,28,69]. The SAH severity distribution of the study population differed significantly from other surveys which generally give account of lower percentages of patients grouped into neurologically favorable low SAH grades [2,39].…”

Section: Discussionsupporting

confidence: 86%

The burden of headache following aneurysmal subarachnoid hemorrhage: a prospective single-center cross-sectional analysis

et al. 2020

View full text Add to dashboard Cite

Background Aneurysmal subarachnoid hemorrhage (SAH) as a serious type of stroke is frequently accompanied by a so-called initial thunderclap headache. However, the occurrence of burdensome long-term headache following SAH has never been studied in detail so far. The aim of this study was to determine the prevalence and characteristics of long-term burdensome headache in good-grade SAH patients as well as its relation to health-related quality of life (HR-QOL). Methods All SAH cases treated between January 2014 and December 2016 with preserved consciousness at hospital discharge were prospectively interviewed regarding burdensome headache in 2018. Study participants were subsequently scrutinized by means of a standardized postal survey comprising validated pain and HR-QOL questionnaires. A retrospective chart review provided data on the initial treatment. Results A total of 93 out of 145 eligible SAH patients participated in the study (62 females). A total of 41% (38/93) of subjects indicated burdensome headache at follow-up (mean 32.6 ± 9.3 months). Comparison between patients with (HA+) and without long-term headache (HA-) revealed significantly younger mean age (47.9 ± 11.8 vs. 55.6 ± 10.3 years; p < .01) as well as more favorable neurological conditions (WFNS I/II: 95% vs. 75%; p = .03) in HA+ cases. The mean average headache of the HA+ group was 3.7 ± 2.3 (10-point numeric rating scale), and the mean maximum headache intensity was 5.7 ± 2.9. Pain and HR-QOL scores demonstrated profound alterations in HA+ compared to HA-patients. Conclusions Our results suggest that a considerable proportion of SAH patients suffers from burdensome headache even years after the hemorrhage. Moreover, long-term headache is associated with reduced HR-QOL in these cases. Keywords Headache. Intracranial aneurysm. Quality of life. Subarachnoid hemorrhage This article is part of the Topical Collection on Vascular Neurosurgery-Aneurysm Previous presentation Parts of this study have been presented as an oral contribution at the 70th annual meeting of the German Society of Neurosurgery. The meeting was held in Würzburg (Germany) from May 12 to 15, 2019.

show abstract

Section: Discussionsupporting

confidence: 86%

The burden of headache following aneurysmal subarachnoid hemorrhage: a prospective single-center cross-sectional analysis

et al. 2020

View full text Add to dashboard Cite

show abstract

“…In the past 10 years of cerebral aneurysm research, the proportion of small ruptured aneurysms has increased to nearly 50% (26)(27)(28). Kim et al believed that a sidewall aneurysm found with multiple aneurysms or an AcomA aneurysm found from a patient with hypertension may be prone to rupture at smaller sizes.…”

Section: Discussionmentioning

confidence: 99%

Influence of Age-Related Complications on Clinical Outcome in Patients With Small Ruptured Cerebral Aneurysms

2020

View full text Add to dashboard Cite

Background: Small ruptured cerebral aneurysms (≤5 mm) account for the majority of aneurysmal subarachnoid hemorrhages, and its clinical management remains a challenge. The aim of this study was to identify the effect of age-related complications on the outcome of patients with small ruptured aneurysm. Methods: A retrospective review was performed in patients with small ruptured aneurysms who underwent microsurgical clipping or endovascular coiling from September 2012 to December 2018. According to their ages, the patients were divided into the elderly group and the non-elderly group. Baseline characteristics, clinical complications, and outcome of patients were analyzed between the two groups. A multivariate logistic regression analysis was used to determine the risk factors associated with the poor outcome of the elderly patients. Results: In the elderly group, 83 patients were treated with clipping and 50 were treated with coiling. In the non-elderly group, 188 patients were treated with clipping and 117 were treated with coiling. The incidence of neurological complications with neurologic deficit in the elderly group was significantly higher compared with that in the non-elderly group (P = 0.006). The elderly patients had a longer hospital stay (P = 0.032) and a poorer outcome (P = 0.001) compared with the non-elderly patients. A multivariate analysis showed that irregular aneurysms (P = 0.045) and ischemic events (P < 0.001) were independent risk factors associated with poor outcome in the elderly. Conclusions: Neurological complications with neurologic deficit, especially ischemic complications, were clearly more common in the elderly patients. Irregular small aneurysms or postoperative ischemic events should be paid attention as the higher risk of poor outcome in the elderly.

show abstract

“…VSIAs are a dilemma for neurovascular surgeons because their management remains controversial. 1,4,16 Some trials have found that neurosurgical clipping is superior to endovascular coiling in patients with ruptured VSIAs 2,7,17,18 ; however, recent evidence suggests that these two are equal and in some parameters, endovascular coiling is superior to surgical clipping. [19][20][21][22] In the current study, we reported the outcomes for 26 patients with 32 VSIAs in our referral center in southern Iran undergoing surgery with the double-clip technique.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique

et al. 2018

View full text Add to dashboard Cite

show abstract

Size and Location of Ruptured Intracranial Aneurysms: A 5-Year Clinical Survey

Cited by 40 publications

References 25 publications

The burden of headache following aneurysmal subarachnoid hemorrhage: a prospective single-center cross-sectional analysis

The burden of headache following aneurysmal subarachnoid hemorrhage: a prospective single-center cross-sectional analysis

Influence of Age-Related Complications on Clinical Outcome in Patients With Small Ruptured Cerebral Aneurysms

Surgical Outcome of Very Small Intracranial Aneurysms Utilizing the Double Clip Technique

Contact Info

Product

Resources

About