Guideline for Management of Unruptured Intracranial Aneurysms: Preliminary Report.

Kim,  Keon Ha

Brief Communication

Neurointervention 2007;2(1):43-49.

Department of Radiology, Samsung Medical Center, Sungkyunkwan University College of Medicine, Korea. somatom@smc.samsung.co.kr

Abstract

Over the past decade, development of noninvasive diagnostic modalities for the diagnosis of intracranial aneurysms have led to a dramatic change in the management in which patients with unruptured intracranial aneurysms are diagnosed and treated. A patient with an unruptured intracranial aneurysm has three treatment options: endovascular coiling, surgical clipping, and observation. The decision making about management of intracranial aneurysms should be based on the risk of rupture and risks associated with surgical or endovascular treatment. In this report, we review the recent published articles pertaining to diagnositic modalities, natural history, management, and follow-up of unruptured intracranial aneurysms.

Key Words: Unruptured Intrcranial Aneurysms; Natural History; Surgical Clipping; Endovascular Therapy