Unruptured Intracranial Aneurysms

Najib E. El Tecle, Jakob T. Hockman, Ahmed Abdelsalam, Jorge F. Urquiaga, Joanna I. Ramiro, Jeroen R. Coppens*

*Corresponding author for this work

Research output: Chapter in Book/Report/Conference proceedingChapter


The optimal management of unruptured intracranial aneurysms (UIAs) requires balancing the risk of aneurysm rupture against the possible morbidity of therapeutic options. This is a complex and often daunting task that requires a careful understanding of the natural history of the disease. Determining patient and aneurysm-specific characteristics will allow the cerebrovascular team to council patients in the best possible way. If the decision is made to proceed with treatment, it is prudent to consider endovascular and open treatment modalities and choose the one best suited to the patient. As both endovascular and microsurgical options become safer, the decision to secure unruptured aneurysms is often favored in practice. In this chapter, we review the nuances of management of unruptured intracranial aneurysms.

Original languageEnglish (US)
Title of host publicationCurrent Clinical Neurology
PublisherHumana Press Inc.
Number of pages15
StatePublished - 2022

Publication series

NameCurrent Clinical Neurology
ISSN (Print)1559-0585
ISSN (Electronic)2524-4043


  • Balloon-assisted coiling
  • Clipping
  • Coiling
  • Flow diversion
  • Giant aneurysms
  • Natural history
  • Stent-assisted coiling
  • Unruptured aneurysm

ASJC Scopus subject areas

  • Clinical Neurology


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