Caracterización clínica de los aneurismas cerebrales en pacientes del área de neurología del hospital IESS los CEIBOS durante el período 2018-2021.

Abstract

Introduction: Cerebral aneurysms consist of abnormal dilatations of blood vessels that if ruptured result in subarachnoid hemorrhage. Saccular aneurysm is the most frequent type in 90% of cases. After being mostly asymptomatic, the diagnosis is usually incidental. There are associated risk factors that allow establishing clinical suspicion to guide us towards diagnosis. Objective: to characterize the clinic of patients with cerebral aneurysms in the neurology area of the Hospital IESS Ceibos during the period 2018 - 2021. Methods: observational, retrospective, cross-sectional, descriptive study established in 100 patients seen in the neurology area of the Hospital IESS Los Ceibos, period 2018 - 2021. Results: Of the 100 patients, 67 were female and 33 were male with a mean age of 56.8. Age over 40 years (35%), female sex (28%) and arterial hypertension (26%) were the most frequent risk factors. The most affected artery was the posterior communicating artery (21%). The most frequent clinical manifestation was headache. The most frequently used diagnostic method was angiotac (54%), while the most frequently used surgical technique was endovascular embolization (42%). Conclusion: Cerebral aneurysms affected mostly women, the mean age of presentation was 56 years. Saccular aneurysm was the most frequent, while severe headache was the main triggering symptom of the pathology.