Frequency of Cerebral Aneurysm in patients with subarachnoid hemorrhage on CT Cerebral Angiography.

IF 1.2 4区医学 Q2 MEDICINE, GENERAL & INTERNAL Pakistan Journal of Medical Sciences Pub Date : 2024-10-01 DOI:10.12669/pjms.40.9.8653

Sana, Shaista Shoukat, Sumera Tabassum, Haania Shahbaz

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Abstract

Objective: To determine the frequency of cerebral aneurysm in patients with subarachnoid haemorrhage on CT cerebral angiography.

Methods: This prospective cross-sectional study was conducted at Department of Radiology, JPMC, Karachi from 5^th June 2022 to 30^th January 2023. Total 176 patients with subarachnoid haemorrhage irrespective of gender were selected. CT angiography of cerebral vessels was performed. Cerebral aneurysm was noted as per operational definition and recorded.

Results: Age range was from 18 to 60 years. Mean age was 39.516±6.77 years, Mean BMI 29.630±3.08 Kg/m2. and mean duration of symptoms was 7.721±2.40 days. Male patients were 80.1% and females were 19.9%. Cerebral aneurysm was observed in 91.4% female and 78.7% male patients. Aneurysmal percentage was slightly higher in younger (18-40 years) age group (84.2% vs 80.4%) as compared to older (40-60) age group but statistically not significant. Although total percentage of female was quite less 19.9% (n=35 vs n=141 male), in this lesser female percentage, aneurysmal detection was higher as compared to male gender (91.4% vs 78.7%). Distribution of aneurysms according to vessel involved was; 28.7% along anterior communicating artery, 28.3% related to middle cerebral artery and, 22.9% were along posterior communicating vessel. Rest was distributed among other vessels including tip of basilar artery.

Conclusion: In Our study aneurysms was seen 81.3% in patients of subarachnoid hemorrhage having CT angiography at our center in Karachi Pakistan.

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蛛网膜下腔出血患者通过 CT 脑血管造影检查发现脑动脉瘤的频率。

目的：确定蛛网膜下腔出血患者在 CT 脑血管造影中出现脑动脉瘤的频率：确定蛛网膜下腔出血患者通过 CT 脑血管造影检查发现脑动脉瘤的频率：这项前瞻性横断面研究于 2022 年 6 月 5 日至 2023 年 1 月 30 日在卡拉奇 JPMC 放射科进行。共选取了 176 名蛛网膜下腔出血患者，不分性别。对脑血管进行 CT 血管造影。根据操作定义记录脑动脉瘤：年龄范围为 18 至 60 岁。平均年龄为（39.516±6.77）岁，平均体重指数为（29.630±3.08）Kg/m2，平均症状持续时间为（7.721±2.40）天。男性患者占 80.1%，女性患者占 19.9%。91.4%的女性患者和78.7%的男性患者出现脑动脉瘤。与年龄较大（40-60 岁）的患者相比，年龄较小（18-40 岁）的患者动脉瘤比例略高（84.2% 对 80.4%），但统计学意义不大。虽然女性的总比例较低，仅为 19.9%（35 人对 141 名男性），但在较低的女性比例中，动脉瘤的检出率却高于男性（91.4% 对 78.7%）。动脉瘤根据涉及的血管分布情况为：28.7%沿前交通动脉，28.3%与大脑中动脉有关，22.9%沿后交通动脉。其余分布在其他血管，包括基底动脉末端：在我们的研究中，81.3% 的蛛网膜下腔出血患者在巴基斯坦卡拉奇中心接受了 CT 血管造影检查。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pakistan Journal of Medical Sciences 医学-医学：内科

CiteScore

4.10

自引率

9.10%

发文量

363

审稿时长

3-6 weeks

期刊介绍： It is a peer reviewed medical journal published regularly since 1984. It was previously known as quarterly "SPECIALIST" till December 31st 1999. It publishes original research articles, review articles, current practices, short communications & case reports. It attracts manuscripts not only from within Pakistan but also from over fifty countries from abroad. Copies of PJMS are sent to all the import medical libraries all over Pakistan and overseas particularly in South East Asia and Asia Pacific besides WHO EMRO Region countries. Eminent members of the medical profession at home and abroad regularly contribute their write-ups, manuscripts in our publications. We pursue an independent editorial policy, which allows an opportunity to the healthcare professionals to express their views without any fear or favour. That is why many opinion makers among the medical and pharmaceutical profession use this publication to communicate their viewpoint.