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9%) on the right side of the circle of Willis and 35 (13.8%) on the left. Multivariate logistic regression analysis identified the aneurysm diameter (odds ratio, 4.11; 95% confidence interval, 1.601-16.07; P= 0.003) and age 65 years (odds ratio, 0.17; 95% confidence interval, 0.062-0.48; P 0.001) as independent predictors of rupture. ACoA aneurysms are small (5 mm) and have a high risk of rupture. A1 segment hypoplasia or aplasia is a risk factor for ACoA aneurysm formation; however, it was uncorrelated with aneurysm diameter
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