The number of elderly patients admitted with diagnosis of cerebral aneurysms is markedly increasing worldwide. Treatment in this group of patients is certainly more difficult than in the young subjects and not many reports deal with their management.
Many factors must be considered deciding if to pursue treatment. Patients admitted after bleeding (subarachnoid haemorrhage, SAH) have a different prognosis from young subjects and those harboring unruptured vascular malformations.
We have analyzed the literature on the basis of this distinction.
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