Abstract
Cerebral aneurysms represent common intracranial vascular lesions encountered in neurosurgical
practice. The clinical presentation is varied, ranging from asymptomatic lesions to
those presenting with catastrophic intracranial hemorrhage. Aneurysm treatment has
been a rapidly evolving field with numerous technical innovations, especially in the
last two decades. Selecting the appropriate treatment can be a complex process that
involves integration of information regarding the patient's clinical presentation,
associated comorbidities, the aneurysm's morphological characteristics, safety and
efficacy of the treatment options and skill and experience of available practitioners,
amongst others. In this article, we review each of these factors and appraise the
available scientific evidence in an effort to facilitate decision making in the treatment
of cerebral aneurysms. The treatment of intracranial aneurysms is best performed at
high volume centers that utilize a multidisciplinary, team-based approach.
Keywords
intracranial aneurysm - surgical clipping - endovascular coiling
