Asymptomatic familial cerebral aneurysms

• Published in: Neurosurgery Vol. 43; no. 4; p. 776
• Main Authors: Kojima, M, Nagasawa, S, Lee, Y E, Takeichi, Y, Tsuda, E, Mabuchi, N
• Format: Journal Article
• Language: English
• Published: United States 01.10.1998
• Subjects: Adolescent; Adult; Aged; Aged, 80 and over; Aneurysm, Ruptured - diagnosis; Aneurysm, Ruptured - epidemiology; Aneurysm, Ruptured - genetics; Child; Cross-Sectional Studies; Diagnosis, Differential; Female; Genetic Predisposition to Disease - genetics; Humans; Intracranial Aneurysm - diagnosis; Intracranial Aneurysm - epidemiology; Intracranial Aneurysm - genetics; Magnetic Resonance Angiography; Male; Middle Aged; Pedigree; Risk Factors; Subarachnoid Hemorrhage - diagnosis; Subarachnoid Hemorrhage - epidemiology; Subarachnoid Hemorrhage - genetics
• ISSN: 0148-396X
• DOI: 10.1097/00006123-199810000-00026

We evaluated the prevalence and features of cerebral aneurysms in the family members of people with asymptomatic aneurysms among 8680 participants undergoing magnetic resonance angiography. Of the 8680 participants, 380 had family histories of aneurysms and 8300 did not. The prevalence and features of asymptomatic aneurysms were compared in these two subgroups. In addition, the prevalence in all living first- or second-degree relatives was evaluated in 20 families. The prevalence of asymptomatic aneurysms was 7.0% (606 of 8680 participants) overall and 10.5% (40 of 380 participants) and 6.8% (566 of 8300 participants) in the subgroups with and without family histories of aneurysms, respectively. The prevalence in the female participants with family histories of aneurysms (12.3%, 28 of 228 participants) was higher than that in the male participants with family histories of aneurysms (7.9%, 12 of 152 participants) (P < 0.0001). Compared with the entire group, this subgroup more commonly showed aneurysms situated at the junction of the internal carotid and posterior communicating arteries (P < 0.0005) and at the middle cerebral artery (P < 0.0001). The prevalence of aneurysms in 115 members of the 20 families was 33.9%. Although the members of 14 families with aneurysmal subarachnoid hemorrhage showed higher prevalence of ruptured and asymptomatic aneurysms (42.1%) than did the members of 6 families with only asymptomatic aneurysms (17.9%), the former had very low prevalence of asymptomatic aneurysms. The prevalence of aneurysms is significantly elevated in family members of people with asymptomatic aneurysms. It is suggested that familial asymptomatic aneurysms are more likely to rupture in families having members with aneurysmal subarachnoid hemorrhage than in those without.