Treatment of unruptured intracranial aneurysms: Surgery, coiling, or nothing?

Joseph D. Burns, Robert D. Brown

Research output: Contribution to journalArticlepeer-review

27 Scopus citations


The decision of whether and how to treat an unruptured intracranial aneurysm (UIA) is complex. The goal in caring for patients with UIAs is to maximize their duration of high-quality life by optimally balancing the risks of aneurysm rupture-the "natural history" of the aneurysm-with those of treatmentrelated adverse outcomes. In this article, we review the literature concerning the natural history of UIAs and summarize the procedure-associated morbidity and mortality and efficacy of surgical clipping and endovascular coiling. Using this information, we make recommendations regarding the optimal management of patients with UIAs.

Original languageEnglish (US)
Pages (from-to)6-12
Number of pages7
JournalCurrent neurology and neuroscience reports
Issue number1
StatePublished - Jan 1 2009

ASJC Scopus subject areas

  • Neuroscience(all)
  • Clinical Neurology


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