Quezada BHG, Arenas OJ, Gómez GLG, Molina GJA

Language: Spanish
References: 6
Page: 167-173
PDF size: 570.37 Kb.

ABSTRACT

Objective: To identify and classify the location of cerebral aneurisms, in the Radiology Service of the Specialties Hospital and compared to the literature.
Material and methods: Design: Retrospective, transversal, descriptive, observational open study, from January to September 2008, finding 22 patients with aneurisms. Classifying them by location in brain arteries (right inner carotid artery and left carotid and segments; anterior cerebral and right and left median, anterior communicating, posterior right and left and cerebellous) by gender, and age.
Analysis: descriptive statistics.
Results: 107 cerebral panangiographies were reviewed with digital extraction, finding 22 patients with aneurisms, seven male patients (31.8 %) and 15 female (68.2%), ranging from 39 to 88 years old, (an average of 59 years old); 19 patients (83.3%) with unique aneurisms and three (13.7%) multiple (two or more). The most frequent locations were: anterior communicating (5.18%), left and right inner carotid (five,18%), respectively; both in the communicating segment; median cerebral (three, 11%), anterior (two, 7%), ophthalmic segment left inner carotid (two, 7%), left posterior communicating (two, 7%), left median cerebral (one, 3.5%), right inner carotid ophthalmic segment (one, 7%), front superior cerebellum artery (one, 3.5%) and basilar (one, 3.5%).
Conclusions: Angiography is the golden standard in the detection of aneurisms. In comparison with literature, our population shows differences, the most common locations were the inner carotid artery, communicating and ophthalmic segments, anterior communicating segment, median cerebral; while the literature refers more frequency in the anterior, posterior and median cerebral communicating artery.

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