Relationship Between Brain Tumors and Intracranial Aneurysms: A Systematic Review.

IF 0.9 4区医学 Q4 CLINICAL NEUROLOGY

Turkish neurosurgery Pub Date : 2024-01-01 DOI:10.5137/1019-5149.JTN.43614-23.4

Pedro Rabello, Nicollas Nunes Rabelo, João Telles, Eberval Gadelha Figueiredo

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引用次数: 0

Abstract

Aim: To investigate the possible relationship between intracranial aneurysms and brain neoplasms.

Material and methods: A comprehensive literature review involving a search of the databases PubMed and Embase to identify relevant articles was conducted in March 2021. The initial search retrieved 451 articles. After deduplication and screening of abstracts, 56 articles were selected. After reading of the full texts, 19 articles were included in the review.

Results: There insufficient evidence to support that people with brain neoplasms have a higher incidence rate of IAs. However, the prevalence of IAs appears to be higher in patients with pituitary tumors than in the general population. The key factors affecting prognosis were tumor type in patients with unruptured aneurysms and progression of subarachnoid hemorrhage in individuals with ruptured aneurysms. Treatment should be individualized according to patient age, tumor pathology, location, and aneurysm rupture risk.

Conclusion: There is a lack of evidence to affirm that the existence of brain neoplasm plays a role in the formation and rupture of intracranial aneurysms. Additionally, there is insufficient evidence to confirm a greater prevalence of intracranial aneurysms in individuals with brain tumors. The association of these two disorders does not appear to worsen patient outcome. Prognosis depends on tumor pathology for malignant cases and on subarachnoid hemorrhage in patients with ruptured aneurysms.

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脑肿瘤与颅内动脉瘤的关系：系统综述。

背景：脑肿瘤伴发颅内动脉瘤（IAs）的情况并不常见，这两种病变之间是否存在因果关系仍不清楚。由于使用了先进的神经影像学技术，这种关联的发生率有所提高。研究这两种病变之间的关系、这种潜在的相互作用是否会恶化患者的预后以及如何规划和进行治疗非常重要。本研究旨在探讨颅内动脉瘤与脑肿瘤之间可能存在的关系：方法：2021 年 3 月，我们进行了一次全面的文献综述，包括检索 PubMed 和 Embase 数据库，以确定相关文章。初次检索检索到 451 篇文章。在对摘要进行删减和筛选后，选出了 56 篇文章。阅读全文后，19 篇文章被纳入综述：没有足够的证据证明脑肿瘤患者的 IAs 发病率较高。然而，垂体瘤患者的IAs发病率似乎高于普通人群。影响预后的关键因素是未破裂动脉瘤患者的肿瘤类型和破裂动脉瘤患者蛛网膜下腔出血的进展。治疗应根据患者年龄、肿瘤病理、位置和动脉瘤破裂风险进行个体化治疗：结论：目前缺乏证据证实脑肿瘤的存在是颅内动脉瘤形成和破裂的原因之一。此外，也没有足够的证据证实脑肿瘤患者颅内动脉瘤的发病率更高。这两种疾病的关联似乎不会恶化患者的预后。恶性病例的预后取决于肿瘤病理，动脉瘤破裂患者的预后取决于蛛网膜下腔出血。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Turkish neurosurgery 医学-临床神经学

CiteScore

1.50

自引率

12.50%

发文量

126

审稿时长

2 months

期刊介绍： Turkish Neurosurgery is a peer-reviewed, multidisciplinary, open access and totally free journal directed at an audience of neurosurgery physicians and scientists. The official language of the journal is English. The journal publishes original articles in the form of clinical and basic research. Turkish Neurosurgery will only publish studies that have institutional review board (IRB) approval and have strictly observed an acceptable follow-up period. With the exception of reference presentation, Turkish Neurosurgery requires that all manuscripts be prepared in accordance with the Uniform Requirements for Manuscripts Submitted to Biomedical Journals.