Intracranial Aneurysm Natural History

• Ruptured isolated spinal artery aneurysms: a rare manifestation of an arterial dissecting disease
• DWI-based deep learning radiomics nomogram for predicting the impaired quality of life in patients with unruptured intracranial aneurysm developing new iatrogenic cerebral infarcts following stent placement: a multicenter cohort study
• Conservative management of 661 patients with unruptured intracranial aneurysms: an observational study over 4 decades
• Flow reversal bypass surgery for giant intracranial aneurysms: illustrative cases
• Current status and prospects of endovascular treatment for intracranial vertebral artery aneurysms: A narrative review
• Natural history of small incidental intracranial aneurysms: a systematic review and pooled analysis on the influence of follow-up duration and aneurysm location on rupture risk reporting
• Predicting the natural history of unruptured brain arteriovenous malformations: external validation of rupture risk scores
• Microsurgical clipping of ruptured basilar artery perforator aneurysms in the endovascular era: A single-center experience

Although certain intrinsic and extrinsic factors have consistently been found to be associated with a higher risk of rupture in various studies, there is still a lack of a complete understanding of the natural history of intracranial aneurysms. In addition, in further analysis of the known risk factors, some discrepancies start to emerge. For example, although aneurysm size is a well-documented risk factor, the optimal cutoff size is yet to be defined. Intracranial aneurysm location can also affect rupture risk independently of size. In addition, with the increasing number of population-based studies, certain reports of interracial differences have emerged, further adding to the complexity of the matter ^{1) 2)}.

see Spontaneous disappearance of intracranial aneurysm

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