Aneurysms Don’t Occur Earlier in Second Generation
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Aneurysms Don’t Occur Earlier in Second Generation

ST. PAUL, Minn -- February 24, 2009 -- People whose parents or aunts and uncles have had a brain aneurysm are more likely to have one themselves, indicating that genetic risk factors passed down by generation are responsible, according to a study published in the February 24 issue of the journal Neurology.

Prior studies had suggested that aneurysm ruptures affect the offspring or second generation as much as 20 years younger than older generations. This suggests that a genetic risk factor is accumulating with each generation and that aggressive screening should be performed.

However, the new study shows that may not be the case, and the aneurysms actually may happen at an older age.

The study involved 26 clinical centres in the US, Canada, New Zealand, and Australia. Researchers identified 429 families with at least 1 case of a ruptured brain aneurysm.

Researchers then evaluated all siblings in 2 generations of each family, for a total of 1,641 people. Of the 429 families, 54 (12.5%) had cases of ruptured aneurysms in 2 generations of the family -- either parent and child or aunt/uncle and niece/nephew.

Instead of occurring earlier, once the length of follow-up was accounted for, the study found that ruptured aneurysms tended to occur on average slightly later in life. Ruptured aneurysms were identified in the second generation 50% less often than the older generation of the family, but the study suggests that the second generation will “catch up” in the number of aneurysm ruptures as that generation gets older.

“This finding is contrary to previous studies, which have suggested that ‘genetic anticipation’ occurs in brain aneurysms, meaning that subsequent generations are affected at an earlier age,” said study author Daniel Woo, MD, University of Cincinnati, Cincinnati, Ohio.

“Our study accounted for a similar length of follow-up in both generations, which may explain the differing result and that the risk in subsequent generations is increased over their entire life, not just at a younger age. The finding also suggests that we should be looking for all types of genetic risks, not just those that accumulate over generations, which are a very small group of risk factors.”

SOURCE: American Academy of Neurology

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