Cigarette Smoking Increases the Risk Of Formation and

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Cigarette Smoking Increases the Risk Of Formation and Rupture of Intracranial Aneurysms Shelebra Bartley

Cigarette Smoking Increases the Risk Of Formation and Rupture of Intracranial Aneurysms Shelebra Bartley Master’s Project Dr. Grimes

If you are a woman with a brain and you smoke…

If you are a woman with a brain and you smoke…

Your brain will EXPLODE

Your brain will EXPLODE

Quick Review n An aneurysm is a weakened spot on a blood vessel that

Quick Review n An aneurysm is a weakened spot on a blood vessel that balloons out and fills with blood n The aneurysm can put pressure on surrounding nerves or it can rupture causing blood to spill into the surrounding tissue

3 Types of Aneurysms n. Fusiform n. Berry n. Lateral

3 Types of Aneurysms n. Fusiform n. Berry n. Lateral

Berry Aneurysm n Aka saccular aneurysm n Attached by a neck or a stem

Berry Aneurysm n Aka saccular aneurysm n Attached by a neck or a stem to an artery n Accounts for 90% of all aneursyms

Berry Aneurysm

Berry Aneurysm

How to diagnose an Aneursym? n CT angiography n Magnetic Resonance Angiography (MRA) n.

How to diagnose an Aneursym? n CT angiography n Magnetic Resonance Angiography (MRA) n. THE GOLD STANDARD n INTRA-ARTERIAL CATHETER ANGIOGRAPHY

CT Scan Arteriogram

CT Scan Arteriogram

Treatment Options n REFER

Treatment Options n REFER

Education n Stop smoking n Stop drinking n Control blood pressure

Education n Stop smoking n Stop drinking n Control blood pressure

Helsinki Research Results n Studied 278 subjects n Age 15 -60 with subarachnoid hemorrhage

Helsinki Research Results n Studied 278 subjects n Age 15 -60 with subarachnoid hemorrhage n 314 patients in control group n Research team studied the effects of cigarette smoking, alcohol intake and HTN on the rupture of intracranial aneurysms

What they found… n Current cigarette smoking especially in women is an independent risk

What they found… n Current cigarette smoking especially in women is an independent risk factor formation and rupture of intracranial aneurysms n Current smokers and previous smokers had more aneurysms than did those who had never smoked regularly

Johns Hopkins Research n Angiography confirmed intracranial aneurysms n 419 patients dx with intracranial

Johns Hopkins Research n Angiography confirmed intracranial aneurysms n 419 patients dx with intracranial aneurysm n 127 had multiple aneurysms n Women and hx of smoking

Anybody need a smoke break?

Anybody need a smoke break?

University of Colorado n 92% of patients with aneurysms larger than 24 mm n

University of Colorado n 92% of patients with aneurysms larger than 24 mm n 78% of patients with aneurysms ranging in size from 13. 3 mm to 24 mm n 66% of patients with aneurysms smaller than 13 mm

WERE SMOKERS

WERE SMOKERS

IN CONCLUSION n Evidence has shown that cigarette smoking increases the rate of formation

IN CONCLUSION n Evidence has shown that cigarette smoking increases the rate of formation and rupture of intracranial aneurysms n Cigarette smoking and female gender can be identified as an independent risk factor

If you are a woman with a brain and you smoke…your brain will explode

If you are a woman with a brain and you smoke…your brain will explode

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