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Cerebral aneurysms: formation, progression, and developmental chronology
Journal article   Open access   Peer reviewed

Cerebral aneurysms: formation, progression, and developmental chronology

Nima Etminan, Bruce A Buchholz, Rita Dreier, Peter Bruckner, James C Torner, Hans-Jakob Steiger, Daniel Hänggi and R Loch Macdonald
Translational stroke research, Vol.5(2), pp.167-173
04/2014
DOI: 10.1007/s12975-013-0294-x
PMCID: PMC4399795
PMID: 24323717
url
https://doi.org/10.1007/s12975-013-0294-xView
Published (Version of record) Open Access

Abstract

The prevalence of unruptured intracranial aneurysms (UIAs) in the general population is up to 3%. Existing epidemiological data suggests that only a small fraction of UIAs progress towards rupture over the lifetime of an individual, but the surrogates for subsequent rupture and the natural history of UIAs are discussed very controversially at present. In case of rupture of an UIA, the case fatality is up to 50%, which therefore continues to stimulate interest in the pathogenesis of cerebral aneurysm formation and progression. Actual data on the chronological development of cerebral aneurysm has been especially difficult to obtain and, until recently, the existing knowledge in this respect is mainly derived from animal or mathematical models or short-term observational studies. Here, we review the current data on cerebral aneurysm formation and progression as well as a novel approach to investigate the developmental chronology of cerebral aneurysms.
Models, Theoretical Intracranial Aneurysm - etiology Intracranial Aneurysm - pathology Humans Risk Factors Disease Progression

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