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Intracranial Aneurysm

MedGen UID:
2960
•Concept ID:
C0007766
•
Disease or Syndrome
Synonyms: Aneurysm, Intracranial; Aneurysms, Intracranial; Intracranial Aneurysms
SNOMED CT: Intracranial aneurysm (128609009)

Definition

A congenital or acquired aneurysm within the cranium. [from NCI]

Professional guidelines

PubMed

2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association/American Stroke Association.
Hoh BL, Ko NU, Amin-Hanjani S, Chou SH-Y, Cruz-Flores S, Dangayach NS, Derdeyn CP, Du R, Hänggi D, Hetts SW, Ifejika NL, Johnson R, Keigher KM, Leslie-Mazwi TM, Lucke-Wold B, Rabinstein AA, Robicsek SA, Stapleton CJ, Suarez JI, Tjoumakaris SI, Welch BG
Stroke 2023 Jul;54(7):e314-e370. Epub 2023 May 22 doi: 10.1161/STR.0000000000000436. PMID: 37212182
Diagnosis and Treatment of Unruptured Intracranial Aneurysms and Aneurysmal Subarachnoid Hemorrhage.
Tawk RG, Hasan TF, D'Souza CE, Peel JB, Freeman WD
Mayo Clin Proc 2021 Jul;96(7):1970-2000. Epub 2021 May 13 doi: 10.1016/j.mayocp.2021.01.005. PMID: 33992453
Unruptured Cerebral Aneurysms: Evaluation and Management.
Ajiboye N, Chalouhi N, Starke RM, Zanaty M, Bell R
ScientificWorldJournal 2015;2015:954954. Epub 2015 Jun 4 doi: 10.1155/2015/954954. PMID: 26146657Free PMC Article

Recent clinical studies

Etiology

Intracranial Vascular Procedures.
Gross WL, Sacho RH
Anesthesiol Clin 2021 Mar;39(1):1-18. Epub 2021 Jan 9 doi: 10.1016/j.anclin.2020.10.001. PMID: 33563374
Headache and Aneurysm.
Kwon OK
Neuroimaging Clin N Am 2019 May;29(2):255-260. Epub 2019 Feb 20 doi: 10.1016/j.nic.2019.01.004. PMID: 30926115
Unruptured intracranial aneurysms: development, rupture and preventive management.
Etminan N, Rinkel GJ
Nat Rev Neurol 2016 Dec;12(12):699-713. Epub 2016 Nov 3 doi: 10.1038/nrneurol.2016.150. PMID: 27808265
Unruptured Cerebral Aneurysms: Evaluation and Management.
Ajiboye N, Chalouhi N, Starke RM, Zanaty M, Bell R
ScientificWorldJournal 2015;2015:954954. Epub 2015 Jun 4 doi: 10.1155/2015/954954. PMID: 26146657Free PMC Article
Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening.
Brown RD Jr, Broderick JP
Lancet Neurol 2014 Apr;13(4):393-404. doi: 10.1016/S1474-4422(14)70015-8. PMID: 24646873

Diagnosis

Artificial Intelligence Applications in Intracranial Aneurysm: Achievements, Challenges and Opportunities.
Alwalid O, Long X, Xie M, Han P
Acad Radiol 2022 Mar;29 Suppl 3:S201-S214. Epub 2021 Aug 8 doi: 10.1016/j.acra.2021.06.013. PMID: 34376335
Headache and Aneurysm.
Kwon OK
Neuroimaging Clin N Am 2019 May;29(2):255-260. Epub 2019 Feb 20 doi: 10.1016/j.nic.2019.01.004. PMID: 30926115
History of Aneurysmal Spontaneous Subarachnoid Hemorrhage.
Milinis K, Thapar A, O'Neill K, Davies AH
Stroke 2017 Oct;48(10):e280-e283. Epub 2017 Aug 14 doi: 10.1161/STROKEAHA.117.017282. PMID: 28808153
Unruptured Cerebral Aneurysms: Evaluation and Management.
Ajiboye N, Chalouhi N, Starke RM, Zanaty M, Bell R
ScientificWorldJournal 2015;2015:954954. Epub 2015 Jun 4 doi: 10.1155/2015/954954. PMID: 26146657Free PMC Article
Unruptured intracranial aneurysms: epidemiology, natural history, management options, and familial screening.
Brown RD Jr, Broderick JP
Lancet Neurol 2014 Apr;13(4):393-404. doi: 10.1016/S1474-4422(14)70015-8. PMID: 24646873

Therapy

Treatments for unruptured intracranial aneurysms.
Pontes FGB, da Silva EM, Baptista-Silva JC, Vasconcelos V
Cochrane Database Syst Rev 2021 May 10;5(5):CD013312. doi: 10.1002/14651858.CD013312.pub2. PMID: 33971026Free PMC Article
Unruptured Intracranial Aneurysms- Pathogenesis and Individualized Management.
Etminan N, Dörfler A, Steinmetz H
Dtsch Arztebl Int 2020 Apr 3;117(14):235-242. doi: 10.3238/arztebl.2020.0235. PMID: 32449895Free PMC Article
SCENT Trial.
Meyers PM, Coon AL, Kan PT, Wakhloo AK, Hanel RA
Stroke 2019 Jun;50(6):1473-1479. Epub 2019 May 14 doi: 10.1161/STROKEAHA.118.024135. PMID: 31084335
Calcium antagonists for aneurysmal subarachnoid haemorrhage.
Dorhout Mees SM, Rinkel GJ, Feigin VL, Algra A, van den Bergh WM, Vermeulen M, van Gijn J
Cochrane Database Syst Rev 2007 Jul 18;2007(3):CD000277. doi: 10.1002/14651858.CD000277.pub3. PMID: 17636626Free PMC Article
International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion.
Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group
Lancet 2005 Sep 3-9;366(9488):809-17. doi: 10.1016/S0140-6736(05)67214-5. PMID: 16139655

Prognosis

Outcomes Associated With Intracranial Aneurysm Treatments Reported as Safe, Effective, or Durable: A Systematic Review and Meta-Analysis.
Volovici V, Verploegh IS, Satoer D, Vrancken Peeters NJMC, Sadigh Y, Vergouwen MDI, Schouten JW, Bruggeman G, Pisica D, Yildirim G, Cozar A, Muller F, Zidaru AM, Gori K, Tzourmpaki N, Schnell E, Thioub M, Kicielinski K, van Doormaal PJ, Velinov N, Boutarbouch M, Lawton MT, Lanzino G, Amin-Hanjani S, Dammers R, Meling TR
JAMA Netw Open 2023 Sep 5;6(9):e2331798. doi: 10.1001/jamanetworkopen.2023.31798. PMID: 37656458Free PMC Article
Intraprocedural Rupture During Endovascular Treatment of Intracranial Aneurysm: Clinical Results and Literature Review.
Park YK, Yi HJ, Choi KS, Lee YJ, Chun HJ
World Neurosurg 2018 Jun;114:e605-e615. Epub 2018 Mar 14 doi: 10.1016/j.wneu.2018.03.040. PMID: 29548958
Vertebrobasilar fusiform aneurysms.
Serrone JC, Gozal YM, Grossman AW, Andaluz N, Abruzzo T, Zuccarello M, Ringer A
Neurosurg Clin N Am 2014 Jul;25(3):471-84. doi: 10.1016/j.nec.2014.04.006. PMID: 24994085
European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage.
Steiner T, Juvela S, Unterberg A, Jung C, Forsting M, Rinkel G; European Stroke Organization
Cerebrovasc Dis 2013;35(2):93-112. Epub 2013 Feb 7 doi: 10.1159/000346087. PMID: 23406828
International subarachnoid aneurysm trial (ISAT) of neurosurgical clipping versus endovascular coiling in 2143 patients with ruptured intracranial aneurysms: a randomised comparison of effects on survival, dependency, seizures, rebleeding, subgroups, and aneurysm occlusion.
Molyneux AJ, Kerr RS, Yu LM, Clarke M, Sneade M, Yarnold JA, Sandercock P; International Subarachnoid Aneurysm Trial (ISAT) Collaborative Group
Lancet 2005 Sep 3-9;366(9488):809-17. doi: 10.1016/S0140-6736(05)67214-5. PMID: 16139655

Clinical prediction guides

Diagnostic and predictive value of radiomics-based machine learning for intracranial aneurysm rupture status: a systematic review and meta-analysis.
Zhong J, Jiang Y, Huang Q, Yang S
Neurosurg Rev 2024 Nov 12;47(1):845. doi: 10.1007/s10143-024-03086-5. PMID: 39528874Free PMC Article
Correlation of intracranial and aortic aneurysms: current trends and evidence.
Moughal S, Bashir M
Asian Cardiovasc Thorac Ann 2020 Jun;28(5):250-257. Epub 2020 Jun 2 doi: 10.1177/0218492320930848. PMID: 32486829
Intracranial spider aneurysm.
Cabrilo I, Radovanovic I, Schaller K
J Vasc Interv Radiol 2015 Jul;26(7):1031. doi: 10.1016/j.jvir.2015.03.016. PMID: 26095270
Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies.
Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, Ishibashi T, Torner JC, Nakayama T, Rinkel GJ, Algra A
Lancet Neurol 2014 Jan;13(1):59-66. Epub 2013 Nov 27 doi: 10.1016/S1474-4422(13)70263-1. PMID: 24290159
European Stroke Organization guidelines for the management of intracranial aneurysms and subarachnoid haemorrhage.
Steiner T, Juvela S, Unterberg A, Jung C, Forsting M, Rinkel G; European Stroke Organization
Cerebrovasc Dis 2013;35(2):93-112. Epub 2013 Feb 7 doi: 10.1159/000346087. PMID: 23406828

Recent systematic reviews

Comment on the 2023 Guidelines for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage.
Spears WE, Greer DM, Nguyen TN
Stroke 2023 Oct;54(10):2708-2712. Epub 2023 Aug 15 doi: 10.1161/STROKEAHA.123.043541. PMID: 37581267
Treatments for unruptured intracranial aneurysms.
Pontes FGB, da Silva EM, Baptista-Silva JC, Vasconcelos V
Cochrane Database Syst Rev 2021 May 10;5(5):CD013312. doi: 10.1002/14651858.CD013312.pub2. PMID: 33971026Free PMC Article
Endovascular treatment of cerebral aneurysms using flow-diverter devices: A systematic review.
Briganti F, Leone G, Marseglia M, Mariniello G, Caranci F, Brunetti A, Maiuri F
Neuroradiol J 2015 Aug;28(4):365-75. Epub 2015 Aug 27 doi: 10.1177/1971400915602803. PMID: 26314872Free PMC Article
Development of the PHASES score for prediction of risk of rupture of intracranial aneurysms: a pooled analysis of six prospective cohort studies.
Greving JP, Wermer MJ, Brown RD Jr, Morita A, Juvela S, Yonekura M, Ishibashi T, Torner JC, Nakayama T, Rinkel GJ, Algra A
Lancet Neurol 2014 Jan;13(1):59-66. Epub 2013 Nov 27 doi: 10.1016/S1474-4422(13)70263-1. PMID: 24290159
Calcium antagonists for aneurysmal subarachnoid haemorrhage.
Dorhout Mees SM, Rinkel GJ, Feigin VL, Algra A, van den Bergh WM, Vermeulen M, van Gijn J
Cochrane Database Syst Rev 2007 Jul 18;2007(3):CD000277. doi: 10.1002/14651858.CD000277.pub3. PMID: 17636626Free PMC Article

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