Prevention, Treatment, and Prognosis of Cerebral Aneurysms
A special issue of Journal of Clinical Medicine (ISSN 2077-0383). This special issue belongs to the section "Clinical Neurology".
Deadline for manuscript submissions: 20 May 2026 | Viewed by 34
Special Issue Editor
Special Issue Information
Dear Colleagues,
Despite remarkable advances in cerebral aneurysm therapy in recent decades, fundamental challenges persist. While the management of subarachnoid hemorrhages has benefited from a range of vasospasm treatments and refined endovascular techniques, overall prognostic improvements remain modest, emphasizing the need for prophylactic interventions in unruptured lesions to preclude catastrophic hemorrhagic complications.
Contemporary practice demonstrates a pronounced preference for endovascular approaches over conventional craniotomy for unruptured aneurysms, notwithstanding the absence of conclusive evidence establishing the long-term superiority of rupture prevention. This paradigmatic shift has transpired without compelling data substantiating reduced morbidity or enhanced safety profiles.
The chasm between clinical adoption and evidence-based validation constitutes a profound concern within neurosurgical practice. Comprehensive systematic analyses reveal no definitive therapeutic supremacy regarding sustained rupture prevention, which is the cardinal therapeutic objective. This evidentiary lacuna mandates the rigorous investigation of optimal selection paradigms, comparative long-term efficacy, and innovative therapeutic modalities, while necessitating a critical examination of the adequacy of patient counseling.
This Special Issue aims to present the long-term outcomes of unruptured cerebral aneurysms and elucidate complexities in the selection of treatment. The discourse encompasses optimal therapeutic decision-making, patient education frameworks, and comprehensive rupture prevention strategies—themes central to contemporary neurovascular practice evolution.
Prof. Dr. Murai Yasuo
Guest Editor
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Keywords
- cerebral aneurysm
- subarachnoid hemorrhage
- clipping
- interventional surgery
- mortarity
- long-term
- surgical com-plication
- bypass
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