Cerebral Aneurysms Questions & Answers

Updated: Dec 06, 2018
  • Author: David S Liebeskind, MD, FAAN, FAHA, FANA; Chief Editor: Helmi L Lutsep, MD  more...
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Questions & Answers

Overview

What is the mortality rate for aneurysmal subarachnoid hemorrhage (SAH)?

What are symptoms of cerebral aneurysms?

What are physical findings indicative of cerebral aneurysms?

What are neurologic findings suggestive of cerebral aneurysms?

What are the characteristics of aneurysmal subarachnoid hemorrhage (SAH)?

What is the role of lab studies in the diagnosis and assessment of cerebral aneurysms?

What is the role of imaging studies in the diagnosis of cerebral aneurysms?

What is included in nonsurgical treatment of cerebral aneurysms?

What is the role of surgery in the treatment of cerebral aneurysms?

What is the role of endovascular coiling in the treatment of cerebral aneurysms?

What are cerebral aneurysms?

How are saccular aneurysms characterized?

What are aneurysmal subarachnoid hemorrhages (SAH)?

What is the pathogenesis of cerebral aneurysms?

Which conditions increase the risk for development of cerebral aneurysms?

What causes dolichoectatic aneurysms of proximal vessel?

What is the pathophysiology of infectious cerebral aneurysms?

What is the pathogenesis of traumatic cerebral aneurysms?

What causes neoplastic aneurysm formation?

Which conditions are caused by vein of Galen aneurysms?

What is the progression of aneurysmal rupture?

What is the prevalence of cerebral aneurysms in the US?

What is the global incidence of aneurysmal subarachnoid hemorrhage (SAH)?

What are the mortality rates for cerebral aneurysms?

What are the racial predilections of cerebral aneurysms?

How does the prevalence of cerebral aneurysms vary by sex?

How does the prevalence of cerebral aneurysms vary by age?

Presentation

Which clinical history is characteristic of cerebral aneurysms?

What are the symptoms of cerebral aneurysms and subarachnoid hemorrhage (SAH)?

Which physical findings are characteristic of cerebral aneurysms?

Which neurological findings suggest cerebral aneurysms?

What are anterior communicating artery (ACoA) aneurysms?

What are anterior cerebral artery aneurysms?

What are middle cerebral artery (MCA) aneurysms?

What are posterior communicating artery (PCoA) aneurysms?

What are internal carotid artery (ICA) aneurysms?

What are basilar artery aneurysms?

What are vertebral artery or posterior inferior cerebellar artery aneurysms?

What are false localizing signs of cerebral aneurysms?

What are causes of cerebral aneurysms?

DDX

What are the differential diagnoses for Cerebral Aneurysms?

Workup

What is the role of lab studies in the diagnosis of cerebral aneurysms?

What is the role of imaging studies in the workup of cerebral aneurysms?

What is the role of CT scanning in the workup of cerebral aneurysms?

What is the role of MRI in the workup of cerebral aneurysms?

What is the role of angiography in the workup of cerebral aneurysms?

Which imaging studies may be helpful in the workup of cerebral aneurysms?

Which cardiac tests may be helpful in the workup of cerebral aneurysms?

What is the role of lumbar puncture (LP) in the workup of cerebral aneurysms?

Which histologic findings are characteristic of cerebral aneurysms?

How are cerebral aneurysms staged?

Treatment

What is included in prehospital care for cerebral aneurysms?

What are the medical treatment options for cerebral aneurysms?

What conditions must be managed prior to definitive treatment for cerebral aneurysms?

What care is needed following surgical or endovascular cerebral aneurysm treatment?

What is the role of triple-H therapy in the treatment of cerebral aneurysms?

What is the role of intraarterial papaverine or endovascular balloon angioplasty in the treatment of cerebral aneurysms?

How are infectious cerebral aneurysms managed?

What are treatment guidelines for unruptured intracranial aneurysms?

What are the treatment options for unruptured intracranial aneurysms?

What is the role of surgery in the treatment of unruptured intracranial aneurysms?

What is the basis of treatment selection for unruptured intracranial aneurysms?

What are the surgical approaches to the treatment of cerebral aneurysms?

What measures are used to reduce operative morbidity in the treatment of cerebral aneurysms?

What is the role of lumbar spinal drainage the treatment of cerebral aneurysms?

What is the optimal timing of surgery for cerebral aneurysms?

When is surgical delay indicated for the treatment of cerebral aneurysms?

What is the role of endovascular techniques in the treatment of cerebral aneurysms?

What is the efficacy of endovascular therapy for cerebral aneurysms?

What are the advantages of low-profile stents in the treatment of cerebral aneurysms?

What are the indications for self-expanding covered stents in the treatment of cerebral aneurysms?

Which endovascular techniques are used for treatment of large or giant intracranial cerebral aneurysms?

What are considerations regarding endovascular coiling for the treatment of cerebral aneurysms in elderly patients?

Which specialists should be included on a multidisciplinary treatment team for cerebral aneurysms?

Which dietary modifications are used in the treatment of cerebral aneurysms?

Which activity restrictions are used in the treatment of cerebral aneurysms?

Medications

Which medications are used in the management of cerebral aneurysms?

Which medications in the drug class Stool softeners are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Antacids are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Antiemetics are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Analgesics are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Antihypertensives are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Antiepileptics are used in the treatment of Cerebral Aneurysms?

Which medications in the drug class Calcium channel blockers are used in the treatment of Cerebral Aneurysms?

Follow-up

What is included in outpatient care following treatment for cerebral aneurysms?

What is included in ICU care of cerebral aneurysms?

Which medications are used in the treatment of cerebral aneurysms?

What are the indications for transfer of patients with cerebral aneurysms?

How are is neurological injury prevented in cerebral aneurysms?

What are possible complications of cerebral aneurysms?

What is the prognosis of cerebral aneurysms?

What is included in patient education for cerebral aneurysms?