Intracranial aneurysm

By | May 15, 2012



Most commonly located on the anterior part of circle of Willis (particularly on anterior or posterior communicating arteries, at the bifurcation of middle cerebral artery and at the bifurcation of internal carotid artery.




Most common are saccular .other forms are fusiform, diffuse, globular etc.


Clinical features

1.      Asymptomatic

2.      focal neurological deficit

3.      headache

4.      Transitory internal weakness, numbness, tingling, or speech disturbance.

5.      if rupture then loss of consciousness and death



CSF examination will show blood stains

EEG =side of hemorrhage

Angiography and CT scan.



Surgical by clipping, tigating the neck of the aneurysm.




Bed rest

Aminocaproic acid (fibrinolytic) 24 g/day i/v for 3 weeks

Sedatives and analgesics.