Unruptured Intracranial Aneurysms: Development, Rupture and Preventive Management— etminan 2016

With 3% of the adult population affected, saccular unruptured intracranial aneurysms (UIAs) are becoming increasingly common as a result of advancements in cranial imaging. Little is known about the efficacy and dangers of preventive treatment, despite the fact that there is a lot of data on the creation, growth, and rupture of aneurysms. Clinicians must take into account a number of variables when managing a patient with a UIA, including the patient's age and life expectancy, the projected risk of rupture, the hazards of preventive treatment, and the patient's anxiety levels. This review analyzes recent information on UIA development, progression, rupture, and dangers related to preventive care, and also explores clinical management implications. In addition, important queries arising from recent UIA data are addressed, along with their implications for further study. The discussion of novel radiological surrogates for rupture includes advice for clinicians dealing with patients who have unintentionally discovered UIAs.

Etminan, N., & Rinkel, G. J. (2016). Unruptured intracranial aneurysms: development, rupture and preventive management. Nature reviews. Neurology, 12(12), 699–713. https://doi.org/10.1038/nrneurol.2016.150