Published in:
01-09-2016 | Stroke (JF Meschia, Section Editor)
Management of Unruptured Intracranial Aneurysms
Authors:
Deena M. Nasr, Robert D. Brown Jr.
Published in:
Current Cardiology Reports
|
Issue 9/2016
Login to get access
Abstract
Unruptured intracranial aneurysms (UIA) occur in approximately 2–3 % of the population. Most of these lesions are incidentally found, asymptomatic and typically carry a benign course. Although the risk of aneurysmal subarachnoid hemorrhage is low, this complication can result in significant morbidity and mortality, making assessment of this risk the cornerstone of UIA management. This article reviews important factors to consider when managing unruptured intracranial aneurysms including patient demographics, comorbidities, family history, symptom status, and aneurysm characteristics. It also addresses screening, monitoring, medical management and current surgical and endovascular therapies.