Intracranial aneurysms in Ghanaian adults

• Published in: Ghana medical journal Vol. 57; no. 3; p. 250
• Main Authors: Sarkodie, Benjamin D, Jimah, Bashiru B, Mohammed, Abdullah H, Akpalu, Albert, Brakohiapa, Edmund K, Anim, Dorothea, Botwe, Benard O
• Format: Journal Article
• Language: English
• Published: Ghana 01-09-2023
• Subjects: Adult; Aged; Angiography, Digital Subtraction; Female; Ghana - epidemiology; Humans; Intracranial Aneurysm - diagnostic imaging; Intracranial Aneurysm - epidemiology; Male; Middle Aged; Prevalence; Retrospective Studies; Ghana; Intracranial; adults; Ghanaian; angiography; aneurysms
• ISSN: 2616-163X

To document the location, size, and multiplicity of intracranial aneurysms in Ghanaians who have undergone digital subtraction angiography (DSA) at a single centre in Accra, Ghana.
We conducted a retrospective observational review of the medical records of all patients diagnosed with intracranial aneurysms on DSA.
Patients' medical records at Euracare Advanced Diagnostic and Heart Centre were reviewed between March 2018 and March 2020.
Thirty-one patients were identified with various intracranial aneurysms (IAs) within the study period. Patients' ages, sex, and types of IAs were extracted using a checklist and analysed using Microsoft Excel for Windows 2016.
None.
The prevalence of types and distribution of intracranial aneurysms.
The age range of the patients was 26-76 years, with a mean age of 45.5±14.3 years. The mean age of men and women with IA was 45.5 ±15.9 years and 46.7 51.3±12.9 years, respectively. The most common IAs were located in the posterior communicating artery (PCOM) at 54.8% (95%CI: 36.0, 72.7), followed by the anterior communicating (ACOM), which constituted 32.3% (95%CI: 16.7, 51.4). The majority, 89.2% (33/37) of these aneurysms were less than 7mm in diameter. Single aneurysms were present in 25 (80.6%).
The most common IAs were found in the PCOM and ACOM, and IAs tend to rupture at a younger age and smaller size among the Ghanaian adults examined. Early detection and treatment of IAs less than 7mm in diameter is recommended.
None declared.