Kaftanov A N, Kheyreddin A S, Yakovlev S B
Burdenko Neurosurgical Institute, Moscow, Russia.
Zh Vopr Neirokhir Im N N Burdenko. 2016;80(5):136-143. doi: 10.17116/neiro2016805136-142.
The problem of high disability and mortality due to subarachnoid hemorrhage (SAH) from cerebral aneurysms has led to the fact that surgical treatment of unruptured aneurysms has been considered in Western Europe, Japan, and the United States as a method for prevention of subarachnoid hemorrhage for many years. The introduction of the so-called surgical SAH prophylaxis in Russia is a challenge that requires defining the principles of patient selection and choosing a treatment technique for unruptured cerebral aneurysms. The article highlights the modern approaches to treatment of asymptomatic unruptured cerebral aneurysms based on the concepts of aneurysm epidemiology and natural progression.
脑动脉瘤导致的蛛网膜下腔出血（SAH）所引起的高致残率和高死亡率问题，使得在西欧、日本和美国，多年来一直将未破裂动脉瘤的外科治疗视为预防蛛网膜下腔出血的一种方法。在俄罗斯引入所谓的外科SAH预防措施是一项挑战，这需要确定患者选择原则并为未破裂脑动脉瘤选择治疗技术。本文基于动脉瘤流行病学和自然病程的概念，重点介绍了无症状未破裂脑动脉瘤的现代治疗方法。
