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Cerebellopontine Angle Tumors Are Associated with a Greater Incidence of Unruptured Intracranial Aneurysms.
Zheng, Shu-Fa; Zhang, Yi-Bin; He, Yan-Yan; Shang-Guan, Huang-Cheng; Kang, De-Zhi; Chen, Guo-Rong; Lin, Yuan-Xiang; Yao, Pei-Sen.
Afiliação
  • Zheng SF; Department of Neurosurgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
  • Zhang YB; Department of Neurosurgery, Dehua County Hospital, Quanzhou, China.
  • He YY; Department of Radiology, Affiliated People's of Fujian University of Traditional Chinese Medicine, Fuzhou, China.
  • Shang-Guan HC; Department of Critical Care Medicine, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
  • Kang DZ; Department of Neurosurgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
  • Chen GR; Department of Neurosurgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
  • Lin YX; Department of Neurosurgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China.
  • Yao PS; Department of Neurosurgery, First Affiliated Hospital of Fujian Medical University, Fuzhou, China. Electronic address: peisen.yao@163.com.
World Neurosurg ; 122: e561-e568, 2019 02.
Article em En | MEDLINE | ID: mdl-31108072
OBJECTIVE: We tested the hypothesis that cerebellopontine angle (CPA) tumors are associated with a greater incidence of unruptured intracranial aneurysms (IAs). METHODS: Patients with intracranial tumors (ITs) undergoing computed tomography angiography and magnetic resonance imaging were enrolled in an observational cohort study that prospectively collected age, sex, hypertension, diabetes, cerebral arteriosclerosis, tumor type, tumor location, hydrocephalus, smoking, alcohol intake, CPA tumor size, cerebral aneurysms, and cerebral arteriosclerosis. Patients with the coexistence of IA and ITwere classified as group II, whereas the others with IT as group I. RESULTS: We included 1218 patients with IT for analysis. The incidence of IA was 7.1% (86/1218). A total of 31% of patients with aneurysms had CPA tumors. In a multivariate logistic regression model, a greater incidence of IA was found in female patients (odds ratio [OR] 1.726, 95% confidence interval [CI] 1.050-2.836, P=0.031) and in patients with CPA tumors (OR 3.002, 95% CI 1.822-4.947, P=0.000) after adjustment for tumor type, cerebral arteriosclerosis, and age. In female patients, CPA tumors were a unique independent risk factor of a greater incidence of IA (OR 2.270, 95% CI 1.194-4.317, P=0.012). Furthermore, cerebral arteriosclerosis was a unique independent risk factor of IA in patients with CPA tumors (OR 7.626, 95% CI 2.928-19.860, P=0.000). CONCLUSIONS: These data support the hypothesis that CPA tumors are associated with a greater incidence of unruptured IAs, especially in female patients. Cerebral arteriosclerosis contributed to elevated risk of IA in patients with CPA tumors.
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Texto completo: 1 Coleções: 01-internacional Temas: Geral / Tipos_de_cancer / Outros_tipos Base de dados: MEDLINE Assunto principal: Neoplasias Encefálicas / Aneurisma Intracraniano / Neuroma Acústico Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China

Texto completo: 1 Coleções: 01-internacional Temas: Geral / Tipos_de_cancer / Outros_tipos Base de dados: MEDLINE Assunto principal: Neoplasias Encefálicas / Aneurisma Intracraniano / Neuroma Acústico Tipo de estudo: Etiology_studies / Incidence_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Female / Humans / Male / Middle aged Idioma: En Revista: World Neurosurg Assunto da revista: NEUROCIRURGIA Ano de publicação: 2019 Tipo de documento: Article País de afiliação: China