• Borislav Radić, Antonela Blažeković, Ivan Jovanović, Anka Jurišić-Kvesić, Ervina Bilić, and Fran Borovečki.
• 1Department of Neurology, Zagreb University Hospital Center, Zagreb, Croatia; 2Department of Functional Genomics, Center for Translational and Clinical Research, University of Zagreb School of Medicine, Zagreb University Hospital Center, Zagreb, Croatia; 3Department of Radiology, Zagreb University Hospital Center, Zagreb, Croatia; 4Ministry of Health, Zagreb, Croatia.
• Acta Clin Croat. 2021 Dec 1; 60 (4): 758-764.

AbstractIntracranial aneurysms have a prevalence of about 2% of the population. They are a common incidental finding of noninvasive neuroimaging methods, raising the question of the necessity of treatment of patients with an asymptomatic intracranial aneurysm. For long, the only treatment option was surgical clipping of aneurysm neck. In the last 25 years, endovascular techniques have been developed as an alternative solution for patients who are not eligible for neurosurgical procedures. Research has shown better results of embolization procedures with lower rates of complications, but a higher rate of recanalization is still a major drawback of endovascular coiling. There are no strict protocols and the treatment of choice for intracranial aneurysms should be agreed upon by both the physician and the patient. This review aims to provide an insight into the management of intracerebral aneurysms with emphasis on the decision making problems faced by clinicians.

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