Intracranial aneurysms were detected in 3-5% of the autopsies of individuals who lost their lives for any reason in the normal population. However, despite being so common, the bleeding rate of these aneurysms is 13-15/100 000. In other words, very few of these existing aneurysms are prone to bleeding (cerebral hemorrhage-subarachnoid hemorrhage).
However, brain hemorrhages due to aneurysm are unfortunately not very benign. 30-35% of such patients die after bleeding, and 30-35% have to continue their lives with serious neurological sequelae despite all medical and surgical interventions. However, 30% of the patient population returns to their normal lives after all medical and surgical interventions.
The answer to the question of who would like to carry a time bomb carried by 3-5 people out of a hundred people, whose time is uncertain, is probably nobody.
Detection of intracranial aneurysms, that is, before they bleed before they cause symptoms, should be a primary preventive treatment method.
Detection of aneurysms can now be made with Intracranial MR angiography imaging, noninvasively and with a 95% accuracy without any radiation exposure.
In addition, since the incidence of aneurysm is very high in diseases such as Aorta coartation, polycystic kidney disease, Mucopolysaccharidoses, Fibromuscular Dysplasia, MR angiography is recommended every 3 years in this group of patients, and if aneurysm is detected, annual or 6-month MR angiography is recommended. It can be intervened when it is determined that it has grown by following it or before (when it is first detected).
If aneurysms detected by MR angiography in the normal population are larger than 5 mm in diameter, they can be intervened or followed up. If the aneurysm is found to be enlarged or larger than 9-10 mm, it is the most rational method to intervene.
IT IS POSSIBLE TO FIND THE ANSWER TO ALL THESE QUESTIONS WITH AN INTRACRANIAL MR ANGIOGRAPHY AND TO DO WHAT’S NEEDED!
