Growth and Rupture Risk of Small Unruptured Intracranial Aneurysms

TO THE EDITOR:

As a survivor of the spontaneous rupture of an asymptomatic 3-mm aneurysm of the left posterior inferior cerebellar artery, I read Malhotra and colleagues' review (1) on the growth and rupture of small intracranial aneurysms with interest. Just as the textbooks report, I experienced a “thunderclap” headache while in the shower; was in the emergency department within 20 minutes; and, shortly after undergoing computed tomography, was intubated with a burr hole placed to relieve already developing hydrocephalus from a large subarachnoid hemorrhage. After 2 urgent surgeries, a few weeks of rehabilitation, and several months of recovery, I ...