Management of Tiny Unruptured Intracranial Aneurysms

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Recommendations for the management of patients with unruptured intracranial aneurysms.

Aneurysmal subarachnoid hemorrhage (SAH) has a 30day mortality rate of 45%, with approximately half the survivors sustaining irreversible brain damage.1 On the basis of an annual incidence of 6 per 100 000, '15 000 Americans will have an aneurysmal SAH each year. Population-based incidence rates vary considerably from 6 to 16 per 100 000, with the highest rates reported from Japan and Finland.2...

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Factors Influencing the Management of Unruptured Intracranial Aneurysms

Background Deciding how to manage an unruptured intracranial aneurysm can be difficult for patients and physicians due to controversies about management. The decision as to when and how to intervene may be variable depending on physicians' interpretation of available data regarding natural history and morbidity and mortality of interventions. Another significant factor in the decision process i...

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The detection and management of unruptured intracranial aneurysms.

The incidence of subarachnoid haemorrhage (SAH) is 6-8 per 100 000 person years, peaking in the sixth decade. SAH, mostly due to rupture of an intracranial aneurysm, accounts for a quarter of cerebrovascular deaths. Aneurysms increase in frequency with age beyond the third decade, are 1.6 times more common in women and are associated with a number of genetic conditions. Prospective autopsy and ...

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Unruptured intracranial aneurysms: natural history and management decisions.

Aneurysmal subarachnoid hemorrhage (SAH) carries a grim prognosis, with high mortality and morbidity rates. The mortality rate in the first 30 days postrupture is estimated to be in the range of 40 to 50%, and almost half of the survivors will be left with a neurological deficit. Unlike patients with aneurysmal SAH, those with unruptured intracranial aneurysms usually experience no neurological...

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Treatment options of unruptured intracranial aneurysms.

Aneurysmal subarachnoid hemorrhage (SAH), despite improvements in surgical and medical treatment, is still a serious disease with high rates of case fatality (40% to 50%) and morbidity.1–3 Incidence rates of SAH have not changed during the CT era, and outcome of SAH has only modestly improved during the past few decades. Outcome is still determined mainly by severity of initial bleeding or earl...

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ژورنال

عنوان ژورنال: JAMA Neurology

سال: 2018

ISSN: 2168-6149

DOI: 10.1001/jamaneurol.2017.3232