Choosing Wisely:

Don’t routinely screen for brain aneurysms in asymptomatic patients without a family or personal history of brain aneurysms, subarachnoid hemorrhage, or genetic disorders that may predispose to aneurysm formation.

Rationale and Comments: Family history of aneurysmal subarachnoid hemorrhage increases an individual’s risk of harboring an aneurysm. Screening patients without a family history or without a personal history of subarachnoid hemorrhage is not indicated.
Sponsoring Organizations:
  • American Association of Neurological Surgeons and Congress of Neurological Surgeons
  • Sources:
  • American Heart Association guidelines
  • Disciplines:
  • Neurologic
  • References: • Bederson JB, et al. Recommendations for the management of patients with unruptured intracranial aneurysms: a statement for healthcare professionals from the Stroke Council of the American Heart Association. Circulation 2000, 102 (18): 2300–8.

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