Characteristics of Cerebral Aneurysms in Japan
| Autor: | Toshikazu Hidaka, Fusao Ikawa, Yoko Kato, Hideo Yasunaga, Hideo Ohba, Koji Iihara, Shingo Matsuda, Kazuhiko Nozaki, Akio Morita, Hiroyuki Kinouchi, Michitsura Yoshiyama, Nobuaki Michihata, Iori Ozono, Kaoru Kurisu |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Adult
Cross-Cultural Comparison Male Risk medicine.medical_specialty Subarachnoid hemorrhage Demographics subarachnoid hemorrhage unruptured cerebral aneurysm Rupture rate Kaplan-Meier Estimate Review Article Aneurysm Ruptured Head shape 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Aneurysm Japan medicine Unruptured cerebral aneurysm Humans Mass Screening cardiovascular diseases Aged Aged 80 and over business.industry Incidence (epidemiology) Incidence Intracranial Aneurysm Middle Aged medicine.disease Treatment Outcome cerebral aneurysm cardiovascular system outcome Surgery Female Neurology (clinical) Radiology business 030217 neurology & neurosurgery |
| Zdroj: | Neurologia medico-chirurgica |
| ISSN: | 1349-8029 |
| Popis: | The characteristics of cerebral aneurysms in Japan differ from other countries in the higher incidence of unruptured cerebral aneurysm detected by brain check-up screening, higher rupture rate of unruptured cerebral aneurysm, higher incidence of subarachnoid hemorrhage, and superior outcome after subarachnoid hemorrhage based on meta-analysis. Head shape, genetic features, environmental factors, demographics, and medical system in Japan are also different from other countries. Unruptured cerebral aneurysms are 2.8 times more likely to rupture in Japanese than western aneurysms, resulting in the highest incidence of subarachnoid hemorrhage in the world. The exact and specific mechanisms of de novo, growth, and rupture of cerebral aneurysms have not been elucidated. Investigations will contribute to the understanding of cerebral aneurysms and subarachnoid hemorrhage worldwide. Some features of cerebral aneurysm in Japan are discussed for possible research guidance in the elucidation of the predominance of subarachnoid hemorrhage in Japan. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|