The role of arterial hypertension in the natural course of cerebral aneurysms

Arterial hypertension (AH) incidence has been analyzed in 61 patients with aneurysms of cerebral vessels and its enfluence on its natural course. In most patients (57 people) aneurysms were accompanied by intracranial hemorrhage; 4 patients did not show ruptures of aneurysms. Arterial hypertension incidence in patients with aneurysms made up 62,3 %, in control group - 50%. In conditions of AH presence threefold increase of incidence of recurrent early hemorrhage was shown, as well as rupture of aneurysms in early age and aggravating of neurologic symptomatology. In 4 patients rupture of small aneurysmatic diverticula took place. In family history of patients with aneurysms relatively high incidence of AH was marked, as compared with the control group. Questions of AH genetic origin in aneurysmous patients were discussed, and its role in natural course of aneurysms.