Subarachnoid hemorrhage screening: Difference between revisions
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The risk of having subarachnoid hemorrhage (SAH) is much higher in individuals with a positive family history of first degree relatives with [[cerebral aneurysm]] compare to the general population and [[Aneurysm|aneurysms]] tend to rupture at a smaller size and younger age than sporadic [[Aneurysm|aneurysms]].<ref name="pmid9033463">{{cite journal| author=Ronkainen A, Hernesniemi J, Puranen M, Niemitukia L, Vanninen R, Ryynänen M et al.| title=Familial intracranial aneurysms. | journal=Lancet | year= 1997 | volume= 349 | issue= 9049 | pages= 380-4 | pmid=9033463 | doi=10.1016/S0140-6736(97)80009-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9033463 }} </ref><ref name="pmid10496256">{{cite journal| author=Raaymakers TW| title=Aneurysms in relatives of patients with subarachnoid hemorrhage: frequency and risk factors. MARS Study Group. Magnetic Resonance Angiography in Relatives of patients with Subarachnoid hemorrhage. | journal=Neurology | year= 1999 | volume= 53 | issue= 5 | pages= 982-8 | pmid=10496256 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10496256 }} </ref> | The risk of having subarachnoid hemorrhage (SAH) is much higher in individuals with a positive family history of first degree relatives with [[cerebral aneurysm]] compare to the general population and [[Aneurysm|aneurysms]] tend to rupture at a smaller size and younger age than sporadic [[Aneurysm|aneurysms]].<ref name="pmid9033463">{{cite journal| author=Ronkainen A, Hernesniemi J, Puranen M, Niemitukia L, Vanninen R, Ryynänen M et al.| title=Familial intracranial aneurysms. | journal=Lancet | year= 1997 | volume= 349 | issue= 9049 | pages= 380-4 | pmid=9033463 | doi=10.1016/S0140-6736(97)80009-8 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=9033463 }} </ref><ref name="pmid10496256">{{cite journal| author=Raaymakers TW| title=Aneurysms in relatives of patients with subarachnoid hemorrhage: frequency and risk factors. MARS Study Group. Magnetic Resonance Angiography in Relatives of patients with Subarachnoid hemorrhage. | journal=Neurology | year= 1999 | volume= 53 | issue= 5 | pages= 982-8 | pmid=10496256 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=10496256 }} </ref> | ||
This risk of aneurysm is also influenced by other risk factors such as [[cigarette smoking]] and [[hypertension]].<ref name="pmid22423116">{{cite journal| author=Rasing I, Nieuwkamp DJ, Algra A, Rinkel GJ| title=Additional risk of hypertension and smoking for aneurysms in people with a family history of subarachnoid haemorrhage. | journal=J Neurol Neurosurg Psychiatry | year= 2012 | volume= 83 | issue= 5 | pages= 541-2 | pmid=22423116 | doi=10.1136/jnnp-2011-301147 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22423116 }} </ref> The mode of inheritance can be variable, with [[autosomal dominant]], [[Autosomal recessive|recessive]], and multifactorial transmission. | This risk of aneurysm is also influenced by other risk factors such as [[cigarette smoking]] and [[hypertension]].<ref name="pmid22423116">{{cite journal| author=Rasing I, Nieuwkamp DJ, Algra A, Rinkel GJ| title=Additional risk of hypertension and smoking for aneurysms in people with a family history of subarachnoid haemorrhage. | journal=J Neurol Neurosurg Psychiatry | year= 2012 | volume= 83 | issue= 5 | pages= 541-2 | pmid=22423116 | doi=10.1136/jnnp-2011-301147 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22423116 }} </ref> The mode of inheritance can be variable, with [[autosomal dominant]], [[Autosomal recessive|recessive]], and multifactorial transmission. | ||
*First-degree relatives screening is recommend in individuals with a positive family history of subarachnid hemorrhage or [[cerebral aneurysm]] in more than two family members.<ref name="pmid11056108">{{cite journal| author=Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC, Brott T et al.| title=Recommendations for the management of patients with unruptured intracranial aneurysms: A statement for healthcare professionals from the Stroke Council of the American Heart Association. | journal=Circulation | year= 2000 | volume= 102 | issue= 18 | pages= 2300-8 | pmid=11056108 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11056108 }} </ref> | *First-degree relatives screening is recommend in individuals with a positive family history of subarachnid hemorrhage or [[cerebral aneurysm]] in more than two family members.<ref name="pmid11056108">{{cite journal| author=Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC, Brott T et al.| title=Recommendations for the management of patients with unruptured intracranial aneurysms: A statement for healthcare professionals from the Stroke Council of the American Heart Association. | journal=Circulation | year= 2000 | volume= 102 | issue= 18 | pages= 2300-8 | pmid=11056108 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11056108 }} </ref><ref name="aSAH">Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage http://stroke.ahajournals.org/content/early/2012/05/03/STR.0b013e3182587839</ref> | ||
*Screening is not recommend in individuals with only one affected first-degree relative.<ref name="pmid8970938">{{cite journal| author=Schievink WI| title=Intracranial aneurysms. | journal=N Engl J Med | year= 1997 | volume= 336 | issue= 1 | pages= 28-40 | pmid=8970938 | doi=10.1056/NEJM199701023360106 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8970938 }} </ref> | *Screening is not recommend in individuals with only one affected first-degree relative.<ref name="pmid8970938">{{cite journal| author=Schievink WI| title=Intracranial aneurysms. | journal=N Engl J Med | year= 1997 | volume= 336 | issue= 1 | pages= 28-40 | pmid=8970938 | doi=10.1056/NEJM199701023360106 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=8970938 }} </ref> | ||
Revision as of 15:45, 8 December 2016
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Subarachnoid Hemorrhage Microchapters |
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Diagnosis |
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Treatment |
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AHA/ASA Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage (2012)
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Case Studies |
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Subarachnoid hemorrhage screening On the Web |
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American Roentgen Ray Society Images of Subarachnoid hemorrhage screening |
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Risk calculators and risk factors for Subarachnoid hemorrhage screening |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]
Overview
Screening
Relatives screening
The risk of having subarachnoid hemorrhage (SAH) is much higher in individuals with a positive family history of first degree relatives with cerebral aneurysm compare to the general population and aneurysms tend to rupture at a smaller size and younger age than sporadic aneurysms.[1][2] This risk of aneurysm is also influenced by other risk factors such as cigarette smoking and hypertension.[3] The mode of inheritance can be variable, with autosomal dominant, recessive, and multifactorial transmission.
- First-degree relatives screening is recommend in individuals with a positive family history of subarachnid hemorrhage or cerebral aneurysm in more than two family members.[4][5]
- Screening is not recommend in individuals with only one affected first-degree relative.[6]
Heritable conditions
References
- ↑ Ronkainen A, Hernesniemi J, Puranen M, Niemitukia L, Vanninen R, Ryynänen M; et al. (1997). "Familial intracranial aneurysms". Lancet. 349 (9049): 380–4. doi:10.1016/S0140-6736(97)80009-8. PMID 9033463.
- ↑ Raaymakers TW (1999). "Aneurysms in relatives of patients with subarachnoid hemorrhage: frequency and risk factors. MARS Study Group. Magnetic Resonance Angiography in Relatives of patients with Subarachnoid hemorrhage". Neurology. 53 (5): 982–8. PMID 10496256.
- ↑ Rasing I, Nieuwkamp DJ, Algra A, Rinkel GJ (2012). "Additional risk of hypertension and smoking for aneurysms in people with a family history of subarachnoid haemorrhage". J Neurol Neurosurg Psychiatry. 83 (5): 541–2. doi:10.1136/jnnp-2011-301147. PMID 22423116.
- ↑ Bederson JB, Awad IA, Wiebers DO, Piepgras D, Haley EC, Brott T; et al. (2000). "Recommendations for the management of patients with unruptured intracranial aneurysms: A statement for healthcare professionals from the Stroke Council of the American Heart Association". Circulation. 102 (18): 2300–8. PMID 11056108.
- ↑ Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage http://stroke.ahajournals.org/content/early/2012/05/03/STR.0b013e3182587839
- ↑ Schievink WI (1997). "Intracranial aneurysms". N Engl J Med. 336 (1): 28–40. doi:10.1056/NEJM199701023360106. PMID 8970938.
- ↑ Pepin M, Schwarze U, Superti-Furga A, Byers PH (2000). "Clinical and genetic features of Ehlers-Danlos syndrome type IV, the vascular type". N Engl J Med. 342 (10): 673–80. doi:10.1056/NEJM200003093421001. PMID 10706896.
- ↑ Chauveau D, Pirson Y, Verellen-Dumoulin C, Macnicol A, Gonzalo A, Grünfeld JP (1994). "Intracranial aneurysms in autosomal dominant polycystic kidney disease". Kidney Int. 45 (4): 1140–6. PMID 8007584.
- ↑ Litchfield WR, Anderson BF, Weiss RJ, Lifton RP, Dluhy RG (1998). "Intracranial aneurysm and hemorrhagic stroke in glucocorticoid-remediable aldosteronism". Hypertension. 31 (1 Pt 2): 445–50. PMID 9453343.