Surgical treatment of asymptomatic and incidental intracranial aneurysms

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Abstract
A consecutive series of 78 patients underwent surgery for 106 aneurysms between 1972-1978; this group included 14 patients with subarachnoid hemorrhage and multiple, unruptured, incidental aneurysms (20 additional aneurysms). These aneurysms were operated on with no mortality. In 15 other patients who underwent angiography for various nonhemorrhagic disorders, 18 asymptomatic aneurysms were found. These were operated on with no mortality. Of the 29 patients, 3 had postoperative hemiplegia, which persisted in only one. All aneurysms should be considered for operation when diagnosed, provided the patient''s clinical condition is stable.