Screening for Intracranial Aneurysms in Individuals with a Positive First-Degree Family History: A Systematic Review

Hoe, Willem Van; Loon, J. van; Demeestere, Jelle; Lemmens, Robin; Peluso, J.P.; Vleeschouwer, Steven De

doi:10.1016/j.wneu.2021.02.112

Cited by 9 publications

(4 citation statements)

References 54 publications

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“…(c) Family disposition: Relatives address family disposition and show different strategies to deal with this uncertainty. Although several studies positively evaluate systematic screening [ 60 , 61 ], relatives face many unanswered questions because they are not systematically informed about the disposition and possible screening. Based on these findings, we would advocate for the inclusion of the topic of “family disposition” when designing an interactive tool to support AFs and LOs.…”

Section: Discussionmentioning

confidence: 99%

Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making: A Qualitative Pilot Study Exploring Perspectives of Those Directly Affected, Their Next of Kin, and Treating Clinicians

Göcking

Biller‐Andorno

Brandi

et al. 2023

IJERPH

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Background: Exploring the experience and impact of aneurysmal subarachnoid hemorrhage (aSAH) from three perspectives, that of those directly affected (AFs), their next of kin (NoK), and treating clinicians, is a way to support and empower others to make informed medical decisions. Methods: In a Swiss neurosurgical intensive care unit (ICU), eleven semi-structured interviews were conducted as part of a Database of Individual Patient Experiences (DIPEx) pilot project and thematically analyzed. Interviews were held with two clinicians, five people experiencing aSAH, and four NoK 14–21 months after the bleeding event. Results: Qualitative analysis revealed five main themes from the perspective of clinicians: emergency care, diagnosis and treatment, outcomes, everyday life in the ICU, and decision-making; seven main themes were identified for AFs and NoK: the experience of the aSAH, diagnosis and treatment, outcomes, impact on loved ones, identity, faith, religion and spirituality, and decision-making. Perspectives on decision-making were compared, and, whereas clinicians tended to focus their attention on determining treatment, AFs and NoK valued participation in shared decision-making processes. Conclusions: Overall, aSAH was perceived as a life-threatening event with various challenges depending on severity. The results suggest the need for tools that aid decision-making and better prepare AFs and NoK using accessible means and at an early stage.

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Section: Discussionmentioning

confidence: 99%

Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making: A Qualitative Pilot Study Exploring Perspectives of Those Directly Affected, Their Next of Kin, and Treating Clinicians

Göcking

Biller‐Andorno

Brandi

et al. 2023

IJERPH

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“…Thanks to the development and widespread availability of magnetic resonance imaging (MRI) and computerized tomography (CT), the detection of aneurysms is now possible with a sensitivity and speci city reaching 90% [1][2][3] . Surgical treatment of aneurysms, especially unruptured aneurysms, is the most effective preventive measure against SAH, as evidenced by numerous epidemiological studies 4,5 . However, modern neuroimaging methods do not completely rule out false diagnoses of intracranial aneurysms 3 .…”

Section: Introductionmentioning

confidence: 99%

Diagnosis and management of false-positive intracranial aneurysms: a systematic review and illustrative cases.

Konovalov,

Gadzhiagaev,

Artemyev

et al. 2024

Preprint

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Purpose: To systematically review existing data on a false-positive diagnosis of an intracranial aneurysms and associated risks. Methods: A literature search in two databases (PubMed and Web of Science) using keywords "mimicking an intracranial aneurysm", "presenting as an intracranial aneurysm", "false positive intracranial aneurysms," and "neurosurgery” was conducted. We also presented two illustrative cases of patients operated on due to false diagnosis. Results: A total of 243 papers were found in the initial search in two databases. Sixteenpapers (including 20 patients) were included in the final analysis. There were 10 women and 10 men. The most common location of false-positive aneurysms was the bifurcation of the middle cerebral artery. In the posterior circulation, false-positive aneurysms were identified either on the basilar artery, or at the vertebro-basilar junction. Artery occlusion with vascular stump formation was the most common cause of false intracranial aneurysm diagnosis (55.0%). Most often, this variant was detected at the MCA bifurcation (63.6%). Other causes included infundibular widening, fenestration, arterial dissection, contrast extravasation, venous varix. Conclusion: Surgical interventions for false-positive aneurysms are an underestimated problem in vascular neurosurgery. Despite extremely rare published clinical observations, the actual frequency of erroneous surgical interventions for false-positive aneurysms is unknown.

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“…Surgical treatment of aneurysms, especially unruptured aneurysms, is the most effective preventive measure against SAH, as evidenced by numerous epidemiological studies [ 4 , 5 ]. However, modern neuroimaging methods do not completely rule out false diagnoses of intracranial aneurysms [ 3 ].…”

Section: Introductionmentioning

confidence: 99%

A Systematic Review and Case Illustrations of Misdiagnosing Intracranial Aneurysms

Konovalov,

Gadzhiagaev,

Artemyev

et al. 2024

Cureus

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Modern neuroimaging methods do not completely rule out false diagnoses of intracranial aneurysms which can lead to an unwarranted operation associated with risks of complications. However, surgical interventions for falsely diagnosed aneurysms are quite rare. The purpose of this study is to demonstrate two clinical cases of false-positive aneurysms and a systematic review of the literature dedicated to the incidence and etiology of false-positive aneurysms, identifying risk factors associated with false-positive aneurysms. A literature search in two databases (PubMed and Web of Science) using keywords "mimicking an intracranial aneurysm", "presenting as an intracranial aneurysm", "false positive intracranial aneurysms", and "neurosurgery” was conducted. A total of 243 papers were found in the initial search in two databases. Sixteen papers (including 20 patients) were included in the final analysis. There were 10 women and 10 men. The most common location of false-positive aneurysms was the bifurcation of the middle cerebral artery (MCA). In the posterior circulation, false-positive aneurysms were identified either on the basilar artery, or at the vertebro-basilar junction. The main causes of false intracranial aneurysm diagnosis included artery occlusion with vascular stump formation, infundibular widening, fenestration, arterial dissection, contrast extravasation, and venous varix. In conclusion, summarizing the results of our analysis, we can say that surgical interventions for false-positive aneurysms are an underestimated problem in vascular neurosurgery. Despite extremely rare published clinical observations, the actual frequency of erroneous surgical interventions for false-positive aneurysms is unknown.

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Screening for Intracranial Aneurysms in Individuals with a Positive First-Degree Family History: A Systematic Review

Cited by 9 publications

References 54 publications

Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making: A Qualitative Pilot Study Exploring Perspectives of Those Directly Affected, Their Next of Kin, and Treating Clinicians

Aneurysmal Subarachnoid Hemorrhage and Clinical Decision-Making: A Qualitative Pilot Study Exploring Perspectives of Those Directly Affected, Their Next of Kin, and Treating Clinicians

Diagnosis and management of false-positive intracranial aneurysms: a systematic review and illustrative cases.

A Systematic Review and Case Illustrations of Misdiagnosing Intracranial Aneurysms

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