Cerebral Aneurysms

 

Risk of Rupture

·         NEJM 2012 366:2474

 

 

Neurology 2017 (Volume 88) Backes et al)

ELAPSS score

   Risk factors

o   PCOM/posterior aneurysm

o   Size

o   Shape – irregular

    

 

Treatment

Algorithm – based on consensus of expert opinion.  Score difference > 3 determines direction of treatment (conservative vs intervention)