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Intracranial aneurysms in Ghanaian adults

Sarkodie, B. D., Jimah, B. B., Mohammed, A. H. , Akpalu, A., Brakohiapa, E. K., Anim, D. & Ohene-Botwe, B. ORCID: 0000-0002-0477-640X (2023). Intracranial aneurysms in Ghanaian adults. Ghana Medical Journal, 57(3), pp. 250-255. doi: 10.4314/gmj.v57i3.13


Objective: To document the location, size, and multiplicity of intracranial aneurysms in Ghanaians who have un-dergone digital subtraction angiography (DSA) at a single centre in Accra, Ghana.

Design: We conducted a retrospective observational review of the medical records of all patients diagnosed with intracranial aneurysms on DSA

Setting: Patients' medical records at Euracare Advanced Diagnostic and Heart Centre were reviewed between March 2018 and March 2020. Participants: 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 Win-dows 2016.

Interventions: None

Main outcome measures: The prevalence of types and distribution of intracranial aneurysms.

Results: 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%).

Conclusion: 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.

Publication Type: Article
Publisher Keywords: Intracranial, aneurysms, angiography, Ghanaian, adults
Subjects: D History General and Old World > DT Africa
R Medicine > RC Internal medicine
Departments: School of Health & Psychological Sciences > Midwifery & Radiography
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