Patient: Description of condition (onset time, main symptoms, hospital visited, etc.): Patient is female, 49 years old, in good health, no blood loss. Last June sometimes dizziness, foot numbness, had cervical spondylosis, hypertension. went to Guangxi XXX hospital for CTA in July, no treatment. In October this year, I went to Guangxi XXX Hospital for review, they suggested hospitalization, and the CTA results showed that a tumor-like protrusion was seen in the traffic segment of both internal carotid arteries and the PI segment of the left posterior cerebral artery, and the length and base width of the tumor were 5.1mmX3.3mm (right), 3.21mmX4.7mm (left), and 0.8mmX2.0mm respectively. I was afraid of the risk and did not treat in the local hospital. My mother’s condition is in the traffic segment, is it suitable to do clamping or interventional embolization? Is there any certainty that it will be done well? The first thing that I want to do is to make sure that I have the right amount of time to do it. What is the approximate cost? Doctor: The timing and treatment of unruptured intracranial multiple small aneurysms is controversial because the natural history of intracranial aneurysms is not well understood. Advocates of aggressive treatment believe that as long as intracranial aneurysms are present, they are at risk of rupture at any time. However, since it is difficult for any treatment method or doctor to be precise and effective, there are still doubts about choosing early treatment. Clinically, early treatment depends to a large extent on the patient’s and family’s tolerance for the risk of treatment and the physician’s assessment of the risk, as well as the hospital’s technical strengths. In the case of your mother, who is 49 years old and has a history of hypertension, but after 1 year of observation of the discovered aneurysm, there is no change in its size, then continued observation with active control of hypertension is not a bad consideration. Once the aneurysm is found to be enlarged or irregular in shape by CTA, or the patient develops symptoms such as gradually worsening unexplained headache or drooping eyelids, the patient should be diagnosed and treated as soon as possible. The treatment can be started with interventional embolization consultation, and staged microsurgical clamping can be considered for those who have difficulties in interventional embolization or cannot easily achieve complete embolization.