Generally speaking, those who have ruptured cerebral hemangiomas must be treated with craniotomy; those who have not ruptured also need craniotomy if there are risk factors, and on the contrary, they can be observed.
Cerebral hemangioma refers to intracranial aneurysm, which is a cystic bulge caused by limited and abnormal expansion of intracranial arteries, and is the main cause of subarachnoid hemorrhage, which can lead to the death of the patient in serious cases, and is most common in middle-aged and elderly people aged 40-60.
When the intracranial aneurysm is unruptured and small in size, it is mostly asymptomatic, and there is no standardized treatment at this time. However, if the patient is young, has a history of subarachnoid hemorrhage, has a large aneurysm, or is in a dangerous location, craniotomy is recommended.
Ruptured aneurysms must be clamped and embolized in a timely manner, and craniotomy is required to deal with intracranial blood accumulation.
Patients with aneurysms should be seen as soon as possible and treated aggressively.