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The Natural Course of Unruptured Cerebral Aneurysms in a Japanese Cohort

Morita, Akio ; Kirino, Takaaki ; Hashi, Kazuo ; Aoki, Noriaki ; Fukuhara, Shunichi ; Hashimoto, Nobuo ; Nakayama, Takeo ; Sakai, Michi ; Teramoto, Akira ; Tominari, Shinjiro ; Yoshimoto, Takashi

The New England journal of medicine, 2012-06, Vol.366 (26), p.2474-2482 [Periódico revisado por pares]

Waltham, MA: Massachusetts Medical Society

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Título:
The Natural Course of Unruptured Cerebral Aneurysms in a Japanese Cohort
Autor: Morita, Akio ; Kirino, Takaaki ; Hashi, Kazuo ; Aoki, Noriaki ; Fukuhara, Shunichi ; Hashimoto, Nobuo ; Nakayama, Takeo ; Sakai, Michi ; Teramoto, Akira ; Tominari, Shinjiro ; Yoshimoto, Takashi
Assuntos: Aged ; Aneurysm ; Aneurysm, Ruptured ; Aneurysms ; Biological and medical sciences ; Carotid artery ; Carotid Artery, Internal - pathology ; Causes of ; Cerebral Arteries - pathology ; Data collection ; Disease Progression ; Diseases ; Enrollments ; Entrance examinations ; Female ; General aspects ; Health aspects ; Health informatics ; Hemorrhage ; Humans ; Hypotheses ; Intracranial Aneurysm - pathology ; Intracranial aneurysms ; Japanese ; Male ; Medical imaging ; Medical sciences ; Middle Aged ; Middle Cerebral Artery - pathology ; Miscellaneous ; Neurology ; Neurosurgery ; Observation ; Patients ; Proportional Hazards Models ; Prospective Studies ; Public health ; Public health. Hygiene ; Public health. Hygiene-occupational medicine ; Risk Factors ; Rupture ; Rupture, Spontaneous ; Saccule ; Sex Factors ; Statistics ; Vascular diseases and vascular malformations of the nervous system ; Women
É parte de: The New England journal of medicine, 2012-06, Vol.366 (26), p.2474-2482
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: In this observational study involving 5720 Japanese adults who had saccular aneurysms that were 3 mm or larger, the annual risk of rupture was 0.95%. The risk of rupture varied according to the size, location, and shape of the aneurysm. Although incidentally discovered cerebral aneurysms are common, 1 the management of these lesions has been controversial, 2 – 6 and the number of patients undergoing repair has been increasing. 7 Previous studies have shown that aneurysms smaller than 5 or 7 mm in the largest dimension rarely rupture and that aneurysms in the posterior circulation have a greater tendency to rupture than do those in the anterior circulation. 5 , 8 To determine the most appropriate treatment for individual patients, we need to have a better understanding of the risk of rupture of cerebral aneurysms. We conducted a large, prospective cohort study of unruptured cerebral aneurysms . . .
Editor: Waltham, MA: Massachusetts Medical Society
Idioma: Inglês

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The Natural Course of Unruptured Cerebral Aneurysms in a Japanese Cohort

Morita, Akio ; Kirino, Takaaki ; Hashi, Kazuo ; Aoki, Noriaki ; Fukuhara, Shunichi ; Hashimoto, Nobuo ; Nakayama, Takeo ; Sakai, Michi ; Teramoto, Akira ; Tominari, Shinjiro ; Yoshimoto, Takashi

Waltham, MA: Massachusetts Medical Society

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