Cerebral aneurysms: screening
Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .
Cerebral aneurysms: screening. Subject <40 years with one affected first degree relative. Fully referenced neurology checklist.
Indications for aneurysm screening
- ≥2 first degree relatives with subarachnoid haemorrhage (SAH)
- Subject <40 years with one affected first degree relative
- Anxious subject with one affected first degree relative
- History of subarachnoid haemorrhage (SAH) in a twin
- Family history of adult polycystic kidney disease (APCKD)
- Bicuspid aortic valve
Potential indications for aneurysm screening
Locked: subscribe to see this section.
Screening frequency
Locked: subscribe to see this section.
Counselling points
Locked: subscribe to see this section.
Screening after aneurysm surgery
Locked: subscribe to see this section.
References
- Bor ASE, Koffijberg H, Wermer MJH, et al. Optimal screening for familial intracranial aneurysms: a cost-effectiveness analysis. Neurology 2010; 74:1671-1679.
- Rinkel GJE. Intracranial aneurysm screening: indications and advice for practice. Lancet Neurol 2005; 4:122-128.
- Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. American Heart Association Stroke Council, Council on Cardiovascular and Stroke Nursing, and Council on Epidemiology and Prevention; American Heart Association; American Stroke Association. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke 2015; 46:2368-2400.
- Schievink WI, Raissi SS, Maya MM, Velebir A. Screening for intracranial aneurysms in patients with bicuspid aortic valve. Neurology 2010; 74:1430-1433.
- Rinkel GJ, Ruigrok YM. Preventive screening for intracranial aneurysms. Int J Stroke 2021 (Online ahead of print).
- And 1 more. Subscribe to see the full list
