Cerebral aneurysms: indications for treatment
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Cerebral aneurysms: indications for treatment. All incidental aneurysms ≥7mm, All symptomatic intradural aneurysms. Fully referenced neurology checklist.
Indications for treatment of unruptured aneurysms
- All incidental aneurysms ≥7mm
- All symptomatic intradural aneurysms
- Large intracerebral artery (ICA) aneurysms
- Coexisting aneurysms after subarachnoid haemorrhage (SAH)
- When the 5-year rupture risk exceeds the risk of preventative screening
- Absence of significant co-morbid disease
- Life expectancy > 5 years
Indications for treatment of unruptured small aneurysms (<7mm)
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Indications for treatment of ruptured aneurysms
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Treatment monitoring scores
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Acronyms
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References
- Bederson BJ, Awad IA, Wiebers DO, et al. Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Circulation 2000; 102:2300-2308.
- Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention; American Heart Association; American Stroke Association. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2015; 46:2368-2400.
- Etminan N, de Sousa DA, Tiseo C, et al. European Stroke Organisation (ESO) guidelines on management of unruptured intracranial aneurysms. Eur Stroke J 2022; 7:V.
- Etminan N, Brown RD Jr, Beseoglu K, et al. The unruptured intracranial aneurysm treatment score: a multidisciplinary consensus. Neurology 2015; 85:881-889.
- Bijlenga P, Gondar R, Schilling S, et al. PHASES score for the management of intracranial aneurysm: a cross-sectional population-based retrospective study. Stroke 2017; 48:2105-2112.
