Prevalência de variações dos ventrículos cerebrais de acordo com o status socioeconômico: um estudo por imagem

Autores

DOI:

https://doi.org/10.34024/rnc.2025.v33.20541

Palavras-chave:

Prevalência, Tomografia Computadorizada, Cavum Septum Pellucidum, Cavum Vergae, Desordens do Neurodesenvolvimento

Resumo

Introdução. Variantes anatômicas dos ventrículos cerebrais são marcadores de desenvolvimento anormal do sistema nervoso central (SNC). Elas são mais prevalentes em distúrbios neuropsiquiátricos. No entanto, o conhecimento sobre os fatores de risco e a sua prevalência na população em geral, especialmente nos países em desenvolvimento, ainda é limitado. Objetivo. Avaliar os fatores demográficos que influenciam a prevalência de cava cerebral em dois hospitais privados do Brasil. Método. Avaliamos a prevalência de variantes anatômicas ventriculares — Cavum septum pellucidum (CSP), Cavum vergae (CV) e Cavum velum interpositi (CVI) — em 1.467 tomografias multislice de crânio realizadas em dois grandes hospitais privados da cidade de Fortaleza, Ceará (Brasil). Resultados. O hospital 1 apresentou maior percentual de pacientes com plano de saúde de baixo custo, acidente vascular cerebral e neurocisticercose (P<0,05). No total, 15,1% dos participantes do hospital 1, contra 7,1% do hospital 2, apresentaram pelo menos um tipo de cavum cerebral, incluindo CSP vestigial. Os tipos mais raros de cava (CV e CVI) foram duas vezes mais comuns no primeiro hospital (P<0,05). A regressão logística confirmou que pacientes do hospital 1, idosos e homens eram mais propensos a apresentar qualquer tipo de cavum cerebral e CSP. Conclusão. Variantes anatômicas ventriculares cerebrais estiveram presentes em 12% dos participantes desta amostra brasileira de classe média, sendo mais prevalentes em idosos do sexo masculino e em participantes de estratos socioeconômicos mais baixos. Mais estudos são necessários para investigar prospectivamente a associação entre variáveis socioeconômicas e a prevalência de variantes anatômicas ventriculares cerebrais

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Referências

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2025-10-08

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1.
Martins LPL, Sales PMG, Gomes A de M, Silva MS, Bezerra G de AM, Giudice Junior FD de P, et al. Prevalência de variações dos ventrículos cerebrais de acordo com o status socioeconômico: um estudo por imagem. Rev Neurocienc [Internet]. 8º de outubro de 2025 [citado 17º de dezembro de 2025];33:1-17. Disponível em: https://periodicos.unifesp.br/index.php/neurociencias/article/view/20541