• Heng-Jian Liu, Han Zhou, Dong-Lin Lu, Ying-Bin Jiao, Song-Feng Chen, Jing Cheng, Xu-Jin Yao, Jin-Yang Ren, Shi-Fang Li, Wei Liu, Jing-Chen Gao, Yong Yue, Jin-Xiang Xu, Pi-Ning Zhang, and Yu-Gong Feng.
• Qingdao University, Qingdao, China.
• World Neurosurg. 2019 Jul 1; 127: 165-175.

AbstractThere are some controversies about the surgical treatment strategy of mirror aneurysms. Whether to choose 1-stage or 2-stage surgery, bilateral or unilateral craniotomy, or surgical or interventional treatment are the main points in dispute. In this review, the different surgery strategies faced by patients are discussed. Different surgical methods are adopted based on the patient's individual state and the location and size of the aneurysm. A new imaging method is introduced using 3D Slicer, which clearly recognizes the relationship among aneurysm, brain tissue, skull, and nerve. The 3D Slicer can help surgeons undertake adequate preoperative preparation. In addition, we also introduce some ruptured factors (e.g., age, gender, hypertension, morphologic, and hemodynamic) concerning mirror aneurysm. Systematic discussion of the controversies and methods in surgical treatment of mirror aneurysms may provide new perspectives in future research for the prevention and treatment of mirror aneurysms.Copyright © 2019 Elsevier Inc. All rights reserved.

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