SPONTANEOUS SUBARACHNOID HEMORRHAGE AND RUPTURED ANEURYSMS IN THE MIDDLE-EAST - A MYTH REVISITED

被引:26
作者
NOGUEIRA, GJ [1 ]
机构
[1] HAMAD GEN HOSP, DEPT NEUROSURG, DOHA, QATAR
关键词
SUBARACHNOID HEMORRHAGE; ANEURYSMS; AVM; INCIDENCE; MIDDLE-EAST;
D O I
10.1007/BF01401109
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
The difficulties and controversies regarding the incidence of spontaneous subarachnoid haemorrhages (SSH) and ruptured intracranial aneurysms in the Middle East prompted the revision of the experience in the State of Qatar, considering the unique and favourable conditions provided by its size and Health Care System. Methodological sources of error such as diagnostic criteria and referral pattern were carefully scrutinized and evaluated. The incidence of both entities were in fact lower than any western reported values: 2.69 spontaneous subarachnoid haemorrhages and 1.04 ruptured aneurysms per 100000 inhabitants year. This value remained low even when estimated values for possible underdiagnosing errors were added. Age, sex, population at risk and the low incidence of some risk factors are probably related to the values found.
引用
收藏
页码:20 / 25
页数:6
相关论文
共 40 条
[1]   PITFALLS IN THE RECOGNITION OF SUBARACHNOID HEMORRHAGE [J].
ADAMS, HP ;
JERGENSON, DD ;
KASSELL, NF ;
SAHS, AL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1980, 244 (08) :794-796
[2]   THE LOW INCIDENCE OF CEREBRAL ANEURYSMS IN THE MIDDLE-EAST - IS IT A MYTH [J].
ALMEFTY, O ;
ALRODHAN, N ;
FOX, JL .
NEUROSURGERY, 1988, 22 (05) :951-954
[3]  
AMMAR A, 1989, 9TH INT C NEUROSURGE, P177
[4]   INCIDENCE AND PATTERN OF CEREBROVASCULAR DISEASES IN BENGHAZI, LIBYA [J].
ASHOK, PP ;
RADHAKRISHNAN, K ;
SRIDHARAN, R ;
ELMANGOUSH, MA .
JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 1986, 49 (05) :519-523
[5]   INTRACRANIAL ANEURYSMS [J].
BAILEY, WL ;
LOESER, JD .
JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1971, 216 (12) :1993-&
[6]   SUBARACHNOID HEMORRHAGE IN NEW-ZEALAND - AN EPIDEMIOLOGICAL-STUDY [J].
BONITA, R ;
BEAGLEHOLE, R ;
NORTH, JDK .
STROKE, 1983, 14 (03) :342-347
[7]   SUBARACHNOID HEMORRHAGE - EPIDEMIOLOGY, DIAGNOSIS, MANAGEMENT, AND OUTCOME [J].
BONITA, R ;
THOMSON, S .
STROKE, 1985, 16 (04) :591-594
[9]  
CRAWFORD MD, 1965, LANCET, V2, P1254
[10]   PROGRESS IN CEREBROVASCULAR-DISEASE - MANAGEMENT OF CEREBRAL ANEURYSM [J].
DRAKE, CG .
STROKE, 1981, 12 (03) :273-283