Natural history of unruptured intracranial aneurysms.

@article{Lanzino2012NaturalHO,
  title={Natural history of unruptured intracranial aneurysms.},
  author={Giuseppe Lanzino and Robert Brown},
  journal={Journal of neurosurgery},
  year={2012},
  volume={117 1},
  pages={
          50-1; discussion 51-2
        }
}

Figures, Tables, and Topics from this paper

Endovascular coils: properties, technical complications and salvage techniques
TLDR
In this review the structural details of commonly used endovascular coils, technical complications related to coiling and salvage techniques used when these complications occur are discussed.
Impact of Methamphetamine Abuse: A Rare Case of Rapid Cerebral Aneurysm Growth with Review of Literature
TLDR
This case confirms the dynamic temporal effects of methamphetamine use on intracranial vessels and this specific neurostimulants association to rapid aneurysmal formation and in light of vascular pathologies the possibility of drug-induced pseudoaneurysm should also be considered in young patients with history of meth abuse.
Risk factors for growth of conservatively managed unruptured intracranial aneurysms
TLDR
Size (diameter greater than 5 mm), location (basilar artery apex), and weight loss (decrease in BMI over follow-up period) were all significantly associated with increased risk of UIA growth.

References

SHOWING 1-10 OF 36 REFERENCES
Natural History of Unruptured Intracranial Aneurysms: A Long-term Follow-up Study
TLDR
Cigarette smoking, patient age inversely, and the size and location of the unruptured intracranial aneurysm seem to be risk factors for aneurYSm rupture, which decreases with a very long-term follow-up.
Risk Profile of Intracranial Aneurysms: Rupture Rate Is Not Constant After Formation
TLDR
Most aneurysms without early rupture remain stable for the remainder of life through some healing process, and prophylactic treatment for incidentally identified small unruptured aneurYSms has no rationale.
Small (< 10-mm) incidentally found intracranial aneurysms, Part 2: treatment recommendations, natural history, complications, and short-term outcome in 212 consecutive patients.
TLDR
The study confirms that small incidental UIAs deemed to be not in need of treatment have a very benign short-term natural history, which makes observation a reasonable approach in selected patients.
Unruptured Intracranial Aneurysms: Some Questions Answered, Many Questions Remain
  • Robert Brown, J. Torner
  • Medicine
    Canadian Journal of Neurological Sciences / Journal Canadien des Sciences Neurologiques
  • 2011
Small Unruptured Intracranial Aneurysm Verification Study: SUAVe Study, Japan
TLDR
If the patient is <50 years of age, has hypertension, and multiple aneurysms with diameters of ≥4 mm, treatment should be considered to prevent futureaneurysmal rupture, and careful attention should be paid to the treatment indications for single-type unruptured aneurYSms <5 mm.
Intracranial Aneurysm Enlargement on Serial Magnetic Resonance Angiography: Frequency and Risk Factors
TLDR
The likelihood of enlargement was highest in aneurysms with diameters ≥8 mm, and this growth can be detected by serial MRA, however, a clinically significant proportion of small aneurYSms grow, and these growth can been detected byserial MRA.
Cerebral aneurysm treatment trends.
Recent trends in the treatment of cerebral aneurysms: analysis of a nationwide inpatient database.
TLDR
From 1993 to 2003, endovascular techniques for aneurysm occlusion have been increasingly used, while the use of surgical clipping procedures has remained stable.
Incidence of subarachnoid haemorrhage: a systematic review with emphasis on region, age, gender and time trends
TLDR
The overall incidence of SAH is approximately 9 per 100 000 person-years; rates are higher in Japan and Finland and increase with age, while the preponderance of women starts only in the sixth decade.
Risk Factors for Subarachnoid Hemorrhage: An Updated Systematic Review of Epidemiological Studies
TLDR
Smoking, hypertension, and excessive alcohol remain the most important risk factors for subarachnoid hemorrhage.
...
1
2
3
4
...