ArticleBrain & spine2026
Risk factor analysis of growing unruptured intracranial aneurysms: A single center cohort study.
Article in Brain & spine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Introduction: Intradural unruptured intracranial aneurysms (UIA) can rupture and lead to subarachnoid hemorrhage. Previous studies suggest aneurysm growth being a strong risk factor for rupture. The natural history and the individual risk of growth of aneurysms remain controversial. Research question: To analyze the time to growth and identify risk factors associated with growth of UIAs. Materials and methods: Prospectively collected data of 588 patients with a total of 858 UIAs followed up by imaging were analyzed. Patients and aneurysms were categorized in a growing or a stable cohort. Logistic and survival analyses were used to assess potential factors associated with UIA growth. Results: During a median follow-up of 3.4 years (IQR 1.3 - 6.6 years), 112 (13.1%) out of the 858 UIAs showed an increase in size or a change of morphology. Posterior circulation UIAs (OR 2.01 (1.15 - 3.52), Discussion and conclusion: UIA location in the posterior circulation, a larger size at diagnosis and the presence of arterial hypertension are significant risk factors associated with UIA growth.
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