Natural History and Surgical Outcome of Unruptured Cerebral Aneurysms of the Posterior Circulation

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Unruptured intracranial aneurysms: natural history, clinical outcome, and risks of surgical and endovascular treatment.

BACKGROUND The management of unruptured intracranial aneurysms is controversial. Investigators from the International Study of Unruptured Intracranial Aneurysms aimed to assess the natural history of unruptured intracranial aneurysms and to measure the risk associated with their repair. METHODS Centres in the USA, Canada, and Europe enrolled patients for prospective assessment of unruptured a...

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Symptomatic unruptured cerebral aneurysms: features and surgical outcome.

Development of less invasive imaging studies, such as magnetic resonance angiography, has increased the chances that unruptured cerebral aneurysms are found. The rupture risk of "symptomatic" aneurysms is higher than for "asymptomatic" aneurysms; so "symptomatic" aneurysms are more often surgically treated. Many reviews examine "asymptomatic" unruptured cerebral aneurysms, but few evaluate "sym...

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Defining the natural history of unruptured aneurysms.

Despite advances in neurosurgical technique, neuroanesthesia, and neurocritical care and the evolution of endovascular therapy, aneurysmal subarachnoid hemorrhage (SAH) continues to be associated with poor outcome in a majority of patients. The 30-day mortality rate for SAH approaches 50%,1,2 and nearly one half of survivors suffer major neurologic morbidity. These dismal outcomes are especiall...

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Surgical treatment of unruptured cerebral aneurysms in the elderly.

We retrospectively analyzed the prevalence and surgical outcomes of unruptured cerebral aneurysms in the elderly for the past five years. Between 1998 and 2002, we collected data from 575 subjects with unruptured aneurysms who had no history of subarachnoid hemorrhage (SAH). One hundred and eighty-two of these patients (31.7%) were aged > or = 70 years and they had 233 aneurysms. The proportion...

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Natural history, epidemiology and screening of unruptured intracranial aneurysms.

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ژورنال

عنوان ژورنال: Surgery for Cerebral Stroke

سال: 1994

ISSN: 0914-5508

DOI: 10.2335/scs1987.22.4_285