Management of the Unruptured Intracranial Aneurysm

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Abstract
Controversy continues in the neurosurgical literature concerning the treatment of patients with intracranial aneurysms. To some extent this is due to the paucity of data on the natural history of these lesions. Most patients who are found to have an intracranial aneurysm first present with symptoms and signs of subarachnoid hemorrhage. Complications of recurrent hemorrhage, ischemia due to vasospasm, and treatment of the ruptured aneurysm have been the subjects of a previous article and an editorial in the Journal. 1 , 2 In the past few years, Jane, Winn, and Richardson have gathered evidence on the long-term prognosis of patients who have . . .