Multiple intracranial aneurysms

Patients with multiple intracranial aneurysms carry an additional risk of poor outcome due to presence of other aneurysms and the complexity of treatment. Patient’s age is crucial in decision making because of its major effect on outcome and mortality.  Objectives: The purpose of this study was to a...

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Main Authors: Sergiu Gaivas, Daniel Rotariu, Bogdan Iliescu, Faiyad Ziyad, Cosmin Apetrei, Ion Poeată
Format: Article
Language:English
Published: London Academic Publishing 2011-12-01
Series:Romanian Neurosurgery
Subjects:
Online Access:https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/614
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author Sergiu Gaivas
Daniel Rotariu
Bogdan Iliescu
Faiyad Ziyad
Cosmin Apetrei
Ion Poeată
author_facet Sergiu Gaivas
Daniel Rotariu
Bogdan Iliescu
Faiyad Ziyad
Cosmin Apetrei
Ion Poeată
author_sort Sergiu Gaivas
collection DOAJ
description Patients with multiple intracranial aneurysms carry an additional risk of poor outcome due to presence of other aneurysms and the complexity of treatment. Patient’s age is crucial in decision making because of its major effect on outcome and mortality.  Objectives: The purpose of this study was to assess incidence and outcome in multiple aneurysmal SAH in a series of 357 consecutive patients. Material and method: We retrospectively analyzed a series of 366 patients with ruptured aneurysms treated between Jan 2006 and Dec 2009 in our department. We study the incidence, localization, surgical outcome and treatment method for individualized patients. We analyzed short-term outcome of multiple aneurysm in comparison to the single in accordance to Glasgow Outcome Scale at discharge. Data of all patients with aneurysmal SAH treated between 2006 an 2009 in our department were collected from their chart; operative notes and used to evaluate the incidence and outcome for three patient’s age category.  Results: For both single and multiple aneurysms the incidence was significantly higher in women than in men. Outcome differ statistically between patients with multiple and single aneurysms in age groups 40-69 and 70-89 years. Conclusions: The incidence of multiple intracranial aneurysms is higher in women than in men, the site of rupture are different between the two groups in male the site of rupture is dominated by the anterior communicating artery aneurysms while in women it is represented by the internal carotid artery aneurysms. Patients with multiple intracranial aneurysms had a higher mortality than patients harboring single intracranial aneurysms.
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spelling doaj.art-84816b1f4f6b41f993285fd7c81f6b0c2022-12-21T19:07:35ZengLondon Academic PublishingRomanian Neurosurgery1220-88412344-49592011-12-01184Multiple intracranial aneurysmsSergiu GaivasDaniel RotariuBogdan IliescuFaiyad ZiyadCosmin ApetreiIon PoeatăPatients with multiple intracranial aneurysms carry an additional risk of poor outcome due to presence of other aneurysms and the complexity of treatment. Patient’s age is crucial in decision making because of its major effect on outcome and mortality.  Objectives: The purpose of this study was to assess incidence and outcome in multiple aneurysmal SAH in a series of 357 consecutive patients. Material and method: We retrospectively analyzed a series of 366 patients with ruptured aneurysms treated between Jan 2006 and Dec 2009 in our department. We study the incidence, localization, surgical outcome and treatment method for individualized patients. We analyzed short-term outcome of multiple aneurysm in comparison to the single in accordance to Glasgow Outcome Scale at discharge. Data of all patients with aneurysmal SAH treated between 2006 an 2009 in our department were collected from their chart; operative notes and used to evaluate the incidence and outcome for three patient’s age category.  Results: For both single and multiple aneurysms the incidence was significantly higher in women than in men. Outcome differ statistically between patients with multiple and single aneurysms in age groups 40-69 and 70-89 years. Conclusions: The incidence of multiple intracranial aneurysms is higher in women than in men, the site of rupture are different between the two groups in male the site of rupture is dominated by the anterior communicating artery aneurysms while in women it is represented by the internal carotid artery aneurysms. Patients with multiple intracranial aneurysms had a higher mortality than patients harboring single intracranial aneurysms.https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/614aneurysmmultiple aneurysmssubarachnoid hemorrhage
spellingShingle Sergiu Gaivas
Daniel Rotariu
Bogdan Iliescu
Faiyad Ziyad
Cosmin Apetrei
Ion Poeată
Multiple intracranial aneurysms
Romanian Neurosurgery
aneurysm
multiple aneurysms
subarachnoid hemorrhage
title Multiple intracranial aneurysms
title_full Multiple intracranial aneurysms
title_fullStr Multiple intracranial aneurysms
title_full_unstemmed Multiple intracranial aneurysms
title_short Multiple intracranial aneurysms
title_sort multiple intracranial aneurysms
topic aneurysm
multiple aneurysms
subarachnoid hemorrhage
url https://www.journals.lapub.co.uk/index.php/roneurosurgery/article/view/614
work_keys_str_mv AT sergiugaivas multipleintracranialaneurysms
AT danielrotariu multipleintracranialaneurysms
AT bogdaniliescu multipleintracranialaneurysms
AT faiyadziyad multipleintracranialaneurysms
AT cosminapetrei multipleintracranialaneurysms
AT ionpoeata multipleintracranialaneurysms