Cerebral aneurysms: clinical features

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Cerebral aneurysms: clinical features. Younger age, Larger size, Multiple lesions, Higher rupture risk. Fully referenced neurology checklist.

Features of familial aneurysms

  • Younger age
  • Larger size
  • Multiple lesions
  • Higher rupture risk
  • Familial tendency to occur at the same site and bleed in the same decade

Complications of cerebral aneurysms

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Complications of aneurysm rupture

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Cranial nerve impairment

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TIA and stroke

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Prognosis of ruptured aneurysms

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References

  1. Friedman JA, Piepgras DG, Pichelman MA, Hansen KK, Brown RD, Wiebers DO. Small cerebral aneurysms presenting with symptoms other than rupture. Neurology 2001; 57:1212-1216.
  2. Guillon B, Daumas-Duport B, Delaroche O, et al. Cerebral ischaemia complicating intracranial aneurysm: a warning sign of imminent rupture? Am J Neuroradiol 2011; 32:1862-1865.
  3. Rinkel GJE. Intracranial aneurysm screening: indications and advice for practice. Lancet Neurol 2005; 4:122-128.
  4. Mitchell P, Gholkar A, Vindlacheruvu RR, Mendelow AD. Unruptured intracranial aneurysms: benign curiosity or ticking bomb? Lancet Neurol 2004; 3:85-92.
  5. Nomura M, Mori K, Tamase A, et al. Pseudoaneurysm formation due to rupture of intracranial aneurysms: Case series and literature review. Neuroradiol J 2017; 30:129-137. 
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