机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[b]China National Clinical Research Center for Neurological Diseases, Beijing, PR China[c]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, PR China[d]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, PR China
Background: The mechanism responsible for cerebral aneurysm (CA) formation and rupture remains unclear. Some studies showed vascular involvement could be observed in systemic vasculitis caused by Hepatitis B. Therefore, it is necessary to determine the possibility by which hepatitis B virus (HBV) infection might be associated with CA. Methods and Results: We retrospectively studied patient details and serological markers of HBV infection among 229 patients presenting with CA on admission to the Neurosurgery Department at Beijing Tiantan Hospital between March 2016 and February 2017. Clinical data, radiologic findings and clinical features of HBV infection were analyzed by SPSS. The results showed a significant association between HBsAg positive (p = 0.014), anti-HBc positive (p = 0.045) and CA rupture. Univariate analysis revealed patients that were HBsAg positive (OR: 4.828; 95% Cl: 1.363-17.099; p = 0.015) and anti-HBc positive (OR: 1.804; 95% Cl: 1.010-3.223; p = 0.046) were associated with CA rupture. Compared with other confounding risk factors for rupture in the statistical analysis, HBsAg positive status (OR: 4.085; 95% CI: 1.011-16.513; p = 0.048) remained positively associated with CA rupture. Conclusions: Observation showed that HBsAg positivity was associated with CA rupture. (C) 2019 Published by Elsevier Ltd.
基金:
Key Project of Beijing Municipal Science and Technology Commission [D161100003816004]; International Science and Technique Cooperation Program of China [2010DFB30850]; Training Plan of High-Level Technical Talents in the Beijing Health System [2015-3-041]
第一作者机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China[b]China National Clinical Research Center for Neurological Diseases, Beijing, PR China[c]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, PR China[d]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, PR China
通讯作者:
通讯机构:[a]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, PR China[b]China National Clinical Research Center for Neurological Diseases, Beijing, PR China[c]Center of Stroke, Beijing Institute for Brain Disorders, Beijing, PR China[d]Beijing Key Laboratory of Translational Medicine for Cerebrovascular Disease, Beijing, PR China[*1]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantan Xili, Dongcheng District, Beijing 100050, PR China.
推荐引用方式(GB/T 7714):
Yang Ziwen,Wang Jia,Zhang Dong,et al.Hepatitis B virus infected patients show increased risk of cerebral aneurysm rupture: A retrospective analysis[J].JOURNAL OF CLINICAL NEUROSCIENCE.2019,63:155-159.doi:10.1016/j.jocn.2019.01.023.
APA:
Yang, Ziwen,Wang, Jia,Zhang, Dong,Wang, Shuo,Wang, Rong&Zhao, Jizong.(2019).Hepatitis B virus infected patients show increased risk of cerebral aneurysm rupture: A retrospective analysis.JOURNAL OF CLINICAL NEUROSCIENCE,63,
MLA:
Yang, Ziwen,et al."Hepatitis B virus infected patients show increased risk of cerebral aneurysm rupture: A retrospective analysis".JOURNAL OF CLINICAL NEUROSCIENCE 63.(2019):155-159