Unruptured Intracranial Aneurysms: Epidemiology, Natural History, Management Options, and Familial Screening— Brown Jr 2014

1-2% of people have an intracranial saccular or berry aneurysm, which is relatively common. The detection of unruptured cerebral aneurysms has grown as a result of the growing use of cross-sectional imaging techniques in clinical settings. The choice of surgical clipping versus endovascular therapy for these aneurysms is made after weighing the short- and long-term risks of rupture against each other. The size and location of the aneurysm, the patient's family history and medical history, as well as an available intervention approach that poses a manageable risk, must all be taken into consideration while making this choice. Individuals who are aware that they have an unruptured cerebral aneurysm may feel extremely stressed and anxious. So, when making a decision, the patient's opinion on the treatment is crucial. There is still some disagreement over the optimal course of action, thus a thorough analysis of the risks and advantages of available treatment options, taking into account the aneurysm's size, location, and other aspects as well as the patient, is required.

Brown, R. D., Jr, & Broderick, J. P. (2014). Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening. The Lancet. Neurology, 13(4), 393–404. https://doi.org/10.1016/S1474-4422(14)70015-8