Treatment of Unruptured Intracranial Aneurysm in Fibromuscular Dysplasia

When fibromuscular dysplasia involves the intracranial vasculature, the detection of an unruptured intracranial aneurysm raises an immediate clinical question: how should it be managed before rupture occurs?

Clinical Scenario

Unruptured intracranial aneurysm is the primary manifestation of intracranial fibromuscular dysplasia. This protocol addresses patients with confirmed FMD in whom such an aneurysm has been identified, and focuses on the decision to intervene preventively.

Treatment Approach

The primary strategy involves preventive exclusion of the aneurysm through an interventional procedure. The choice of approach depends on aneurysm and patient characteristics.

Complete procedural options, device selection guidance, and the full decision algorithm are available in the structured protocol below.

Instant Access to Structured Evidence-Based Regimens

References

Unruptured aneurysm is the primary manifestation of intracranial FMD.

There are two modalities available for preventive aneurysm exclusion: surgical clipping and endovascular coiling with or without additional devices, such as regular stents or flow-diverting stents.

DOI: 10.1177/1358863X18821816

View source ↗