Cerebral aneurysms: aneurysm-related risk factors for rupture

Evidence-based neurology checklist on cerebral aneurysms: aneurysm-related risk factors for rupture: Familial aneurysms Familial aneurysms have a higher risk of ruptured than sporadic This is especially if there is a first-degree family history of aneurysm or SAH Aneurysm size Aneurysm size ratio…

Familial aneurysms

  • Familial aneurysms have a higher risk of ruptured than sporadic
  • This is especially if there is a first-degree family history of aneurysm or SAH

Aneurysm size

Aneurysm size ratio (SR)

Aneurysm shape

Aneurysm high-risk locations

Aneurysm infection

Aneurysm wall enhancement (AWE)

Other rupture risk factors

The ELAPSS score for predicting risk of aneurysm rupture

References

  1. Clarke M. Systematic review of reviews of risk factors for intracranial aneurysms. Neuroradiology 2008; 50:653-664.
  2. Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention; American Heart Association; American Stroke Association. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2015; 46:2368-2400. 
  3. Juvela S, Poussa K, Lehto H, Porras M. Natural history of unruptured intracranial aneurysms: a long-term follow-up study. Stroke 2013; 44:2414-2421.
  4. Ishibashi T, Murayama Y, Urashima M, Saguchi T, Ebara M, Arakawa H, Irie K, Takao H, Abe T. Unruptured intracranial aneurysms: incidence of rupture and risk factors. Stroke 2009; 40:313-316.
  5. Broderick JP, Brown RD Jr, Sauerbeck L, et al; FIA Study Investigators. Greater rupture risk for familial as compared to sporadic unruptured intracranial aneurysms. Stroke 2009; 40:1952-1957.
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