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Vascular Medicine, Vol. 3, No. 4, 315-326 (1998)
DOI: 10.1177/1358836X9800300407

Management of intracranial aneurysms

Steven D Chang

Department of Neurosurgery and the Stanford Stroke Center, Stanford University Medical Center, Stanford, CA, USA

Gary K Steinberg

Department of Neurosurgery and the Stanford Stroke Center, Stanford University Medical Center, Stanford, CA, USA

Intracranial aneurysms are lesions commonly encountered by neurosurgeons, usually as a result of subarachnoid hemorrhage. The preferred treatment of these aneurysms is either surgical clipping or endovascular coiling, both of which eliminate the aneurysm from the normal circulation to prevent aneurysmal enlargement or additional hemorrhage. Despite advances over the last several decades in the understanding of intracranial aneurysms, morbidity from treatment of these lesions remains significant. This review will discuss the epidemiology, anatomy and pathophysiology, clinical and radiographic diagnosis, various treatment options, and potential complications from aneurysm treatment.

Key Words: aneurysm • intracranial surgery • subarachnoid hemorrhage


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