Cerebral aneurysms: risk factors for formation

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral aneurysms: risk factors for formation. Smoking, Hypertension, Alcohol. Fully referenced neurology checklist.

Acquired risk factors

  • Smoking
  • Hypertension
  • Alcohol
  • Possibly oral contraceptive pills (OCPs)
  • Previous aneurysm: especially in women and familial aneurysms
  • Hypothyroidism
  • HIV associated vasculopathy: with multiple aneurysms
  • Cervical artery tortuosity
  • Coronary artery disease seems protective
  • Low bone mineral density
  • Low magnesium levels

Familial risk factors

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Adult polycystic kidney disease (APCKD)

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Other connective tissue disorders

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Candidate genes

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Risk factors for multiple aneurysms

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References

  1. Rinkel GJE. Intracranial aneurysm screening: indications and advice for practice. Lancet Neurol 2005; 4:122-128.
  2. Lai LT, Morgan MK, Patel NJ. Smoking increases the risk of de novo intracranial aneurysms. World Neurosurg 2014; 82:e195-e201. 
  3. Atchaneeyasakul K, Tipirneni A, Zhang T, et al. Association of hypothyroidism with unruptured cerebral aneurysms: a case-control study. J Neurosurg 2017; 17:1-4. 
  4. Goldstein DA, Timpone J, Cupps TR. HIV-associated intracranial aneurysmal vasculopathy in adults. J Rheumatol 2010; 37:226-233. 
  5. Tipping B, de Villiers L, Candy S, Wainwright H. Stroke caused by human immunodeficiency virus-associated intracranial large-vessel aneurysmal vasculopathy. Arch Neurol 2006; 63:1640-1642.
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