Quality of life of patients after surgical treatment of unruptured brain aneurysm: a literature review

The problem of high disability and mortality after aneurysmal hemorrhages has led to the fact that preventive exclusion of unruptured aneurysms has been the standard of care for many years. Indications for complex operative intervention are equated to the possibility of functional independence loss. The relevance of this study is due to the lack of data on the quality of life of patients after surgical treatment of unruptured cerebral aneurysms in Russian literature. Using the PubMed, Web of Science, Google Scholar databases and the terms “quality of life and unruptured intracranial aneurysm”, articles from 1998 to 2019 were analysed. Patients’ awareness of the presence of cerebral aneurysms often impairs the quality of life, causes anxiety and depression, limits their work and daily activities, and leads them to the choice of surgical intervention. Cultural-linguistic adaptation and validation of scales and questionnaires on the quality of life after the treatment of unruptured brain aneurysms is a necessary measure for domestic research. This article outlines the modern ideas about the epidemiology and natural course of the disease, approaches to treatment of unruptured cerebral aneurysms. Particular attention is devoted to the quality of life of patients after surgery.