OBJECTIVE: To implement an algorithm for and assess multimodality (medical, endovascular, and microsurgical) treatment of @entity1 with @entity438 . METHODS: Twenty @entity1 with 27 @entity439 were treated during a 10-year period. @entity3555 was the most common cause (65%). Most @entity439 presented with @entity397 (75%), and the middle cerebral artery was the most common location (70%). RESULTS: Five @entity1 were treated endovascularly, with direct coiling for three @entity1 and parent @entity432 for two @entity1 . Ten @entity1 (15 @entity439 ) were treated surgically, with 6 @entity439 being trapped/resected, 2 trapped/bypassed, 4 clipped, and 3 wrapped. Five @entity1 were treated medically. Treatment-associated @entity16 was observed for two @entity1 (10%), and two @entity1 died (10%). Good outcomes were observed for 16 @entity1 (80%). CONCLUSION: Factors that guide management decisions for these @entity1 include @entity1756 , @entity1410 with @entity428 , and the eloquence of brain tissue supplied by the parent artery. @entity1 with unruptured @entity439 are initially treated medically, with antibiotics and serial angiography. @entity1 with @entity1756 that are not associated with @entity1410 and that do not involve eloquent vascular territory are treated endovascularly. @entity1 with @entity1756 are treated surgically when there is a @entity1410 or the risk of @entity63 complications in eloquent territory. Therefore, endovascular therapy is the first option for @entity1 in stable condition with @entity1756 ; surgical therapy is the first option for @entity1 in unstable condition with @entity1756 and the second option for @entity1 in stable condition who experience failure of endovascular therapy. Medically treated @entity1 with enlarging or dynamic unruptured @entity439 also require direct surgical or endovascular intervention. Favorable @entity1 outcomes can be achieved with this multimodality management.

Current multimodality management of XXXX .

@entity1 :: ('9606', 'Species') :: ['Patients', 'patients', 'patient'] @entity428 :: ('MESH:D019586', 'Disease') :: ['increased intracranial pressure'] @entity1756 :: ('MESH:D017542', 'Disease') :: ['ruptured aneurysms', 'aneurysm rupture'] @entity63 :: ('MESH:D007511', 'Disease') :: ['ischemic'] @entity16 :: ('MESH:D009422', 'Disease') :: ['neurological morbidity'] @entity439 :: ('MESH:D000783', 'Disease') :: ['aneurysms', 'infectious aneurysms'] @entity397 :: ('MESH:D012421', 'Disease') :: ['rupture'] @entity1410 :: ('MESH:D006406', 'Disease') :: ['hematomas', 'hematoma'] @entity432 :: ('MESH:D001157', 'Disease') :: ['artery occlusion'] @entity3555 :: ('MESH:D004697', 'Disease') :: ['Bacterial endocarditis'] @entity438 :: ('MESH:D002532', 'Disease') :: ['infectious intracranial aneurysms']
@entity438 :: (MESH:D002532,Disease) :: ['infectious intracranial aneurysms']
