"Non-destructive cerebral aneurysm patients at higher risk of mental illness"

Oct 06, 2024

Patients who recognize that they have a non-destructive brain aneurysm are 10% more likely to be diagnosed with mental illness than those who do not, and have a higher risk of mental health problems, especially in patients with non-destructive brain aneurysms under the age of 40.

Medical staff at Ewha Womans University Mokdong Hospital (Hospital President Kim Han-soo) released a study that showed that patients who follow up without surgical treatment after being diagnosed with a non-fracture aneurysm are more likely to suffer from mental illness than those without a non-fracture brain aneurysm.

There have been studies that have observed stress and anxiety patterns in patients diagnosed with non-destructive brain aneurysms, but this is the first study to estimate the risk of mental health problems after diagnosis in a large population.



Professor Lee Hyang-woon of Department of Neurology at Ewha Womans University Mokdong Hospital, Professor Na-rae Yang of Neurosurgery (co-corresponding author), Professor Kim Young-gu of Neurosurgery, Professor Ahn Hyung-mi of the Institute of Convergence Medicine (co-author), and Professor Kim Ga-eun of Department of Psychiatry 'Increased Risk of Mental Illness in Patients With Diagnosed and Untreated Intracranial Aneurysm: A recent American prestigious academic study conducted by conducting research on 'Findings From a Nationwide Coghort Study'3) registered in the online edition.

Using the National Health Information Database (NHID) of the National Health Insurance Service, the research team compared the 10-year incidence of mental illness such as anxiety, stress, depression, eating disorders, bipolar disorder, insomnia, alcohol or substance abuse to patients newly diagnosed with non-destructive brain aneurysm from 2011 to 2019.



As a result, patients who recognized that they had a non-destructive brain aneurysm were 10% more likely to be diagnosed with mental illness than those who did not. The risk of mental health problems was particularly noticeable in patients with non-destructive brain aneurysms under 40 years of age.

'Non-fractory cerebral aneurysm' is a lesion with weakened and swollen cerebrovascular walls and a potential risk of cerebral hemorrhage. However, if follow-up observation is conducted through monitoring without surgical treatment after diagnosis, it suggests that there is a high probability of suffering from mental illness such as depression or anxiety.



Professor Yang Narae of Neurosurgery, a co-corresponding author of the study, said, `After the diagnosis of brain aneurysm, many of the patients being followed up by imaging have experienced fear and anxiety over the fear of a fatal cerebral hemorrhage at any time""Doctors treating brain aneurysms should consider in the course of treatment that diagnosis of non-destructive brain aneurysms itself can add to the patient's psychological burden and contribute to mental illness.", he explained.

Professor Lee Hyang-woon of Neurology, a co-corresponding author, emphasized that "the study has confirmed that patients with non-destructive brain aneurysms can be under great stress just by being diagnosed" and that "support to overcome mental problems is also an important part of comprehensive treatment".

'Non-destructive cerebral aneurysm patients at higher risk of mental illness'
From left, Professor Lee Hyang-woon, Professor Yang Narae, Professor Kim Young-gu, Professor Ahn Hyung-mi, Professor Kim Ga-eun





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