Intracranial aneurysm coexisting with pituitary adenoma: a systematic review
Rattachement africain : br, np. Niveau de preuve : code pays fourni par la source.
Le résumé fourni par la source
Introduction: The simultaneous occurrence of intracranial aneurysms (IA) and primary brain tumors (BT) is frequently reported, with an estimated incidence of 0.5–7.4%. Among the tumor types associated with IA, pituitary adenomas (PA) are the most prevalent. Methods: The authors selected articles, published from 1960 to December 2023, on the Medline, Embase, Scopus, Cochrane Library, and Web of Science databases. The extraction form contains information specific to the aneurysm and tumor, rupture of the aneurysm, treatment proposal for both and order of treatment and outcome. Results: The study evaluated 118 patients from 25 articles. The most frequent types of tumors were non-functioning hormone (NFA) producers, present in 45.8% ( n =54) of the cases, and growth hormone (GH) secretors, which represent 23.0% ( n =27) of the cases. The main treatment used was surgery, with subtotal resection (STR) performed in 4.2% ( n =5) of cases, gross total resection (GTR) in 3.4% ( n =4), and transsphenoidal resection (TSR) in 7.6% ( n =9). 16.0% ( n =19) of patients had two or more aneurysms concomitant with the adenoma. IA treatment was performed before PA surgery in 25 patients (21.2%) and 15 patients received simultaneous treatment to IA and PA (12.7%). Conclusion: Patients with PAs have a considerable prevalence of IAs. Hormonal imbalances and mechanical changes induced by tumor growth, particularly influenced by GH and IGF-1, contribute to this coexistence. Surgical intervention is common, requiring meticulous precautions to avoid complications. More longitudinal studies including close follow-up with a description of outcomes are necessary to guide treatment protocols for this condition.
Ce résumé expose les affirmations des auteurs. BNTIC ne l’interprète pas comme une validation indépendante des résultats.
Le contrôle bibliographique ouvert
DOI retrouvé dans Crossref DOI retrouvé ; titre concordant.
- Titre Crossref
- Intracranial aneurysm coexisting with pituitary adenoma: a systematic review
- Date Crossref
- 25/10/2024
- Éditeur
- Ovid Technologies (Wolters Kluwer Health)
- Type
- journal-article
Ce recoupement confirme des métadonnées liées au DOI. Il ne confirme ni la méthode ni les conclusions de l’étude, et il ne compte pas comme une seconde source scientifique indépendante.
Où se fait cette recherche
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Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo pays non établi dans la noticeÉtablissement de santé
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Universidade Federal do Triângulo Mineiro pays non établi dans la noticeUniversité ou école supérieure
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Bir Hospital pays non établi dans la noticeÉtablissement de santé
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Atenas University Center Department of Neurosurgery pays non établi dans la noticeUniversité ou école supérieure
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School of Medicine Division of Neurosurgery pays non établi dans la noticeUniversité ou école supérieure
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Federal University of Triangulo Mineiro Department of Neurosurgery pays non établi dans la noticeUniversité ou école supérieure
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Neurosurgery Clinic Department of Neurosurgery pays non établi dans la noticeÉtablissement de santé
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo, Universidade Federal do Triângulo Mineiro et Bir Hospital, avec 4 autres affiliations.
Une affiliation ne permet pas de déduire la nationalité d’un auteur.