title: Management of Unruptured Intracranial Aneurysms.
abstract: Unruptured intracranial aneurysms (UIA) occur in approximately 2-3 % of the population. Most of these lesions are incidentally found, asymptomatic and typically carry a benign course. Although the risk of aneurysmal subarachnoid hemorrhage is low, this complication can result in significant morbidity and mortality, making assessment of this risk the cornerstone of UIA management. This article reviews important factors to consider when managing unruptured intracranial aneurysms including patient demographics, comorbidities, family history, symptom status, and aneurysm characteristics. It also addresses screening, monitoring, medical management and current surgical and endovascular therapies.
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. nasr.deena@mayo.edu.
authors.forename: Deena M
authors.initials: DM
authors.lastname: Nasr
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA.
authors.forename: Robert D
authors.initials: RD
authors.lastname: Brown
mesh_terms: D019468:Disease Management; D006801:Humans; D002532:Intracranial Aneurysm / Q000150:complications / Q000175:diagnosis / Q000628:therapy*; D008403:Mass Screening / Q000379:methods; D012307:Risk Factors; D013345:Subarachnoid Hemorrhage / Q000209:etiology
keywords: Epidemiology; Intracranial aneurysms; Natural history; Subarachnoid hemorrhage; Treatment