Risk of Seizures after Endovascular Management of Ruptured Intracranial Aneurysms: A Systematic Review and Meta-analysis
| Autor: | Ravish Keni, Andrei Fernandes Joaquim, Ezequiel Garcia-Ballestas, Luis Rafael Moscote-Salazar, Robert M. Starke, Amit Agrawal, William Andres Florez-Perdomo |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Review 050105 experimental psychology Cerebral edema 03 medical and health sciences 0302 clinical medicine Seizures Internal medicine medicine 0501 psychology and cognitive sciences cardiovascular diseases Embolization business.industry Cerebral infarction 05 social sciences Vasospasm Odds ratio Intracranial aneurysm medicine.disease Confidence interval Endovascular procedures Meta-analysis cardiovascular system Neurosurgery business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Epilepsy Research |
| ISSN: | 2233-6257 2233-6249 |
| DOI: | 10.14581/jer.20009 |
| Popis: | Seizures in aneurysmal subarachnoid haemorrhage (aSAH) have been described secondary to SAH, changes in cortical function, vasospasm and as a result of treatment effects. Seizures are one of the important clinical determinants in neurological outcome of aSAH. Various studies support the notion of less risk of future seizures in endovascular treatment as compared to the microsurgical clipping, yet there is no conclusive evidence in favour or against the seizure occurrence in aSAH patients after endovascular treatment as compared to the microsurgical treatment. To carry out a systematic review and meta-analysis of the risk of seizures after endovascular management (coiling) of ruptured intracranial aneurysms. A literature search was performed in electronic database of PubMed, MEDLINE, Embase, and Scopus from inception to February 2020, using the terms Seizure, Intracranial aneurysms, embolization, with no constraints applied. Data were pooled using a random-effect model, results were abstracted as odds ratios (ORs) and 95% confidence interval (CI), and heterogeneity was reported as Chi-square. Five studies involving 3,077 patients were included in the meta-analysis. After endovascular management of aSAH, seizure risk was increased by a worse clinical severity (World Federation of Neurosurgery scale or Hunt and Hess) (OR, 3.34; 95% CI, 2.69–4.16; p |
| Databáze: | OpenAIRE |
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