A Clinical Decision Tool for Patients with Cerebral Aneurysms

Providing advice about an unruptured cerebral aneurysm, which is potentially lethal, can be challenging. Both conservative treatment and intervention have potential hazards.

Observational studies have shown that certain features can increase the risk for brain aneurysm rupture, such as size and location of the aneurysm. To develop a scoring system that would guide aneurysm decision making and to determine the extent of agreement among specialists regarding this decision, these authors convened a multidisciplinary group of neurologists, neurosurgeons, and radiologists.

The 39 panelists and 30 external reviewers participated in a Delphi process in which they rated aneurysm features and patient factors that increased or decreased the likelihood of recommending interventional treatment. Among the features included were patient age, aneurysm risk factors, life expectancy, and comorbid diseases. Radiologic features in…

Reviewing Author

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

Seemant Chaturvedi, MD

Disclosures

Consultant/Advisory BoardBayer Pharmaceuticals; Novartis

Grant/Research SupportNational Institute of Neurological Disorders and Stroke

Editorial BoardsNeurology; Stroke

A Clinical Decision Tool for Patients with Cerebral Aneurysms

Topics

Reviewing Author