What is the best treatment for small intracranial aneurysms?

Generally, there is no single best treatment method, as the appropriate approach varies depending on individual circumstances. Common treatments for small internal carotid artery aneurysms include medication, surgical intervention, and endovascular therapy. A small internal carotid artery aneurysm refers to a localized dilation of the internal carotid artery, commonly occurring in the neck region. Specific treatment options are analyzed as follows:

1. Medication

If a small internal carotid artery aneurysm has not ruptured or poses no immediate bleeding risk, medication may be used, such as nifedipine or felodipine, to slow aneurysm growth and prevent thrombosis.

2. Surgical Treatment

For aneurysms that have already ruptured or pose a high risk of bleeding, surgical treatment may be necessary, including craniotomy or carotid endarterectomy, to remove the aneurysm or repair the damaged vessel wall.

3. Endovascular Therapy

Endovascular therapy involves inserting devices such as stents or embolic coils into the carotid artery via catheters to block blood flow to the aneurysm or reinforce the vessel wall. This approach is commonly used for treating small internal carotid artery aneurysms and offers advantages such as minimal invasiveness and faster recovery.

In summary, treatment for small internal carotid artery aneurysms should be individually tailored and performed under a physician’s guidance. Additionally, maintaining healthy lifestyle habits—such as quitting smoking, limiting alcohol consumption, and avoiding excessive fatigue—can also help prevent and manage small internal carotid artery aneurysms.