Evidence map›Paper›PMID 42281625›Full record

ReviewMissouri medicine

Current Concepts in the Management of Cerebral Aneurysms.

Camilo R Gomez, Balint Otvos, Kimberley Pfeiffer, Farhan Siddiq, Michael R Chicoine, Adnan I Qureshi

Abstract readReview
In one paragraph

Review in Missouri medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Camilo R GomezComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
Balint OtvosComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
Kimberley PfeifferComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
Farhan SiddiqComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
Michael R ChicoineComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.
Adnan I QureshiComprehensive Stroke Center, and the Departments of Neurology and Neurosurgery, University of Missouri School of Medicine, Columbia, Missouri, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Cerebral aneurysms represent a heterogeneous group of vascular lesions whose clinical behavior ranges from incidental, asymptomatic findings to catastrophic aneurysmal subarachnoid hemorrhage. Despite major advances in neuroimaging, microsurgical technique, and endovascular technology, the management of both ruptured and unruptured cerebral aneurysms remains complex and highly individualized. This review examines current concepts in aneurysm pathobiology, natural history, risk stratification, and contemporary treatment strategies, emphasizing durable clinical principles that transcend evolving technology. Particular attention is given to the balance between conservative surveillance and intervention in unruptured aneurysms, as well as the time-critical priorities, complications, and neurocritical care considerations in ruptured aneurysms. The relative roles of microsurgical and endovascular therapies are discussed through the lens of long-term durability, retreatment risk, and patientspecific anatomy. Ultimately, optimal outcomes depend less on any single technique than on disciplined clinical judgment, longitudinal thinking, and true interdisciplinary collaboration within experienced neurovascular centers.

Indexed as

Aneurysm, RupturedEndovascular ProceduresIntracranial AneurysmHumansMicrosurgerySubarachnoid Hemorrhageaneurysm pathobiologyCerebral aneurysmsubarachnoid hemorrhage

Identifiers

PMID42281625
PMCPMC13252896

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.