Service d'imagerie morphologique et fonctionnelle, hôpital Sainte-Anne, 1, rue Cabanis, 75014 Paris, France; Inserm U894, université Paris-Descartes, 12, rue de l'École-de-Médecine, 75270 Paris cedex 06, France.
Service de neurochirurgie, centre hospitalier universitaire Joseph-Ravoahangy-Andrianavalona (CHU-HJRA), Antananarivo, Madagascar.
Rev Neurol (Paris). 2017 Nov;173(9):542-551. doi: 10.1016/j.neurol.2017.05.004. Epub 2017 Jun 3.
The management of patients with unruptured intracranial aneurysms (UIAs) is a complex clinical challenge and constitutes an immense field of research. While a preponderant proportion of these aneurysms never rupture, the consequences of such an event are severe and represent an important healthcare problem. To date, however, the natural history of UIAs is not completely understood and there is no accurate means to discriminate the UIAs that will rupture from those that will not. Yet, a good understanding of the recent evidence and future perspectives is needed when advising a patient with IA to tailor any information to the given patient's level of risk and psychoaffective status. Thus, this review addresses the current concepts of epidemiology, risk factors, detection and management of UIAs.
颅内未破裂动脉瘤（UIAs）患者的管理是一项复杂的临床挑战，也是一个巨大的研究领域。尽管这些动脉瘤中有很大一部分从未破裂，但这种情况的后果是严重的，是一个重要的医疗保健问题。然而，迄今为止，UIA 的自然史尚不完全清楚，也没有准确的方法来区分将会破裂的和不会破裂的 UIA。然而，在向患有 IA 的患者提供建议时，需要很好地了解最新证据和未来前景，并根据患者的风险水平和心理状况来调整信息。因此，本综述介绍了 UIAs 的流行病学、危险因素、检测和管理的最新概念。
