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Should follow-up imaging for unruptured intracranial aneurysms include MRA head and MRI brain to evaluate for arterial wall enhancement?

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Mednet Member
Mednet Member
Neurology · HCA Houston Healthcare

I prefer CTA to assess asymptomatic intracranial aneurysms if there are no concerning morphological features (e.g., daughter-sac, bi-lobed, or dysplastic/irregular shape) and if the size is less than 5 mm (although size/rupture risk can vary depending on the location of the aneurysm). CTA is easier ...

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Should follow-up imaging for unruptured intracranial aneurysms include MRA head and MRI brain to evaluate for arterial wall enhancement? | Mednet