Management of unruptured incidentally found intracranial saccular aneurysms.

Journal Article (Journal Article;Review)

Unruptured intracranial saccular aneurysms occur in 3-5% of the general population. As the use of diagnostic medical imaging has steadily increased over the past few decades with the increased availability of computed tomography (CT) and magnetic resonance imaging (MRI), so has the detection of incidental aneurysms. The management of an unruptured intracranial saccular aneurysm is challenging for both patients and physicians, as the decision to intervene must weigh the risk of rupture and resultant subarachnoid hemorrhage against the risk inherent to the surgical or endovascular procedure. The purpose of this paper is to provide an overview of factors to be considered in the decision to offer treatment for unruptured intracranial aneurysms in adults. In addition, we review aneurysm and patient characteristics that favor surgical clipping over endovascular intervention and vice versa. Finally, the authors propose a novel, simple, and clinically relevant algorithm for observation versus intervention in unruptured intracranial aneurysms based on the PHASES scoring system.

Full Text

Duke Authors

Cited Authors

  • Mehta, VA; Spears, CA; Abdelgadir, J; Wang, TY; Sankey, EW; Griffin, A; Goodwin, CR; Zomorodi, A

Published Date

  • August 2021

Published In

Volume / Issue

  • 44 / 4

Start / End Page

  • 1933 - 1941

PubMed ID

  • 33025187

Electronic International Standard Serial Number (EISSN)

  • 1437-2320

Digital Object Identifier (DOI)

  • 10.1007/s10143-020-01407-y


  • eng

Conference Location

  • Germany