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Updated: Feb 28, 2026
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Minimally Invasive Thumb-sized Pterional Craniotomy for Surgical Clip Ligation of Unruptured Anterior Circulation Aneurysms
Published on: August 11, 2015
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[Unruptured cerebral aneurysms].
A N Kaftanov1, A S Kheyreddin1, S B Yakovlev1
1Burdenko Neurosurgical Institute, Moscow, Russia.
Zhurnal Voprosy Neirokhirurgii Imeni N. N. Burdenko
|June 22, 2017
Summary
Preventing subarachnoid hemorrhage (SAH) from cerebral aneurysms requires careful patient selection for surgical intervention. This approach aims to reduce high disability and mortality rates associated with ruptured aneurysms.
Area of Science:
- Neurosurgery
- Neurology
- Public Health
Background:
- Subarachnoid hemorrhage (SAH) poses significant disability and mortality risks.
- Cerebral aneurysms are a primary cause of SAH.
- Surgical prevention of SAH via unruptured aneurysm treatment is established in Western countries.
Purpose of the Study:
- To define principles for patient selection in surgical SAH prophylaxis in Russia.
- To outline treatment techniques for unruptured cerebral aneurysms.
- To present modern approaches to asymptomatic unruptured cerebral aneurysm management.
Main Methods:
- Review of epidemiological data on cerebral aneurysms.
- Analysis of the natural progression of unruptured aneurysms.
- Evaluation of current treatment strategies for asymptomatic aneurysms.
Main Results:
- Established international practices for unruptured aneurysm treatment exist.
- Implementing SAH prophylaxis in Russia presents unique challenges.
- Epidemiology and natural history inform treatment decisions.
Conclusions:
- Careful patient selection is crucial for effective SAH prophylaxis.
- Treatment strategies must be tailored to individual aneurysm characteristics and patient factors.
- Modern approaches emphasize evidence-based management of unruptured cerebral aneurysms.
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