Def
Size > 2.5 cm ( 1 inch)
Type
saccular= berry
fusiform
Incidence
3-5% of all intracranial aneurysm
Eat age
30-60
Common in
Female
DX
Angio
CT / MRI to R/ o thrombosed portion.
MRI ➡️ complicated signal on T1WI. Pulsation artifact
How 🔺 cystic vs giant aneurysms
MRI T1 Turbulence within → complicated signal
TX
1/3 of possible for clipping
vascular bypass
trapping
proximal arterial ligation➡️ VB
wrapping
endovascular