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. |
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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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