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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2022.9
- 수록면
- 499 - 506 (8page)
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Background and Purpose Intracranial hemorrhage (ICH) is thought to be a rare but prob ably underestimated presentation of cerebral autosomal dominant arteriopathy with subcor tical infarcts and leukoencephalopathy (CADASIL). We conducted a systematic review and meta-analysis with the aim of comprehensively revealing the occurrence of ICH in patients with CADASIL.
Methods English-language studies published up to September 30, 2021 were searched for in the MEDLINE (PubMed), Web of Science, and Cochrane Library databases. The design, pa tient characteristics, occurrence rate of ICH, and associated risk factors were retrieved for each identified relevant study.
Results We enrolled 13 studies in the final meta-analysis, which included 1,310 patients with CADASIL. The probability of ICH occurrence in patients with CADASIL was 10.1% (95% confidence interval [CI]=5.6%?18.0%, I2 =85.1%). When stratified by geographic region, the occurrence rate of ICH was much higher in Asians (17.7%; 95% CI=11.0%?28.5%, I2 =76.3%) than in Europeans (2.0%; 95% CI=0.4%?10.8%, I2 =82.8%). A higher burden of cerebral mi crobleeds (CMBs) and a history of hypertension were the most commonly recorded risk fac tors for ICH, which were available for three and two of the included studies, respectively.
Conclusions Our study suggests that ICH is an important clinical manifestation of CADA SIL, especially in Asians. A higher burden of CMBs and the existence of hypertension were found to be associated with a higher probability of ICH occurrence in patients with CADASIL.
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