ORIGINAL
Os autores selecionaram um grupo de pacientes com apnéia do sono e aneurismas cerebrais e procuraram correlacionar com casos de sobrepeso e obesidade, encontrando 80% de pacientes com obesidade do sexo feminino, com idades entre 49 e 72 anos (média de 60,6 anos), todas submetidas a gastro-plastia prévia, e tendo sido submetidas a repetidos regimes para emagrecer , com 60% de aneurismas rotos, todos Hunt- Hess entre III e V e Fisher 4 .. Aqueles com sobrepeso, idade entre 53 e 70 anos ( média 60,5 anos), 50% tabagistas, 75% com aneurismas rotos, com gradação Hunt-Hess 3.3 em mé-dia, e Fisher de 3.3 em média. Concluir sobre a correlação é muito incipiente e mais estudos devem ser feitos neste sentido.
The authors have selected a group of patients with sleep ap-nea and brain aneurysms and sought to correlate with cases of overweight and obesity. They have found a high incidence of bleeding among those patients in both groups of obesity, most of them at computed tomography with Fisher score of III to IV, in patients with ruptured aneurysms (60% of rupture in severe obesity and 75% in overweight), and clinical status of Fisher IV in obese patients and 3.3 in overweighed patients. Beyond any doubts, further studies should be accomplished to establish a strong correlation between associated obesity and sleep apnea and the patophysiology of brain aneurysms.
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1. Divisão de Neurocirurgia do Hospital Santa Paula, Brasil
2. Divisão de Neurologia e Unidade de Terapia Intensiva Neurológica do Hospital Santa Paula, Brasil.
3. Departmento de Neurocirurgia da Universidade Tulane, Nova Orleans, Estados Unidos
Recebido em outubro de 2010, aceito em dezembro de 2010
