{"id":277,"date":"2025-10-23T12:36:05","date_gmt":"2025-10-23T10:36:05","guid":{"rendered":"https:\/\/www.chu-tours.fr\/neurochirurgie\/?page_id=277"},"modified":"2026-03-11T12:02:30","modified_gmt":"2026-03-11T11:02:30","slug":"anevrisme-intracranien","status":"publish","type":"page","link":"https:\/\/www.chu-tours.fr\/neurochirurgie\/pathologies-vasculaires\/anevrisme-intracranien\/","title":{"rendered":"An\u00e9vrisme intracr\u00e2nien"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"277\" class=\"elementor elementor-277\" data-elementor-post-type=\"page\">\n\t\t\t\t<div class=\"elementor-element elementor-element-3409196 e-con-full e-flex e-con e-parent\" data-id=\"3409196\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-9ed761e elementor-widget elementor-widget-global elementor-global-220 elementor-widget-html\" data-id=\"9ed761e\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!-- FIL D\u2019ARIANE DYNAMIQUE - CHRU TOURS (VERSION JAVASCRIPT\/CHEVRONS) -->\r\n<div id=\"breadcrumb-js\" class=\"breadcrumb\"><\/div>\r\n\r\n<style>\r\n    .breadcrumb {\r\n        font-size: 14px;\r\n        font-family: \"Segoe UI\", sans-serif;\r\n        margin-bottom: 20px;\r\n        color: #555;\r\n        display: flex;\r\n        flex-wrap: wrap;\r\n        gap: 0.5em;\r\n        align-items: center;\r\n        background: #f4f6f8;       \/* fond gris clair (modifiable ou \u00e0 supprimer) *\/\r\n        padding: 8px 12px;\r\n        border-radius: 4px;\r\n    }\r\n\r\n    .breadcrumb a {\r\n        text-decoration: none;\r\n        color: #008c9e;            \/* couleur des liens cliquables *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb span {\r\n        color: #0d3182;            \/* couleur du dernier \u00e9l\u00e9ment (page active) *\/\r\n        font-weight: 600;\r\n        text-transform: capitalize;\r\n    }\r\n\r\n    .breadcrumb .separator {\r\n        font-weight: normal;\r\n        color: #888;\r\n        margin: 0 4px;\r\n    }\r\n<\/style>\r\n\r\n<script>\r\n    document.addEventListener(\"DOMContentLoaded\", function () {\r\n        const path = window.location.pathname.split(\"\/\").filter(p => p);\r\n        if (path.length === 0) return;\r\n\r\n        let html = '';\r\n        let fullPath = \"\";\r\n\r\n        path.forEach((segment, index) => {\r\n            fullPath += \"\/\" + segment;\r\n            const label = decodeURIComponent(segment.replace(\/[-_]\/g, \" \"))\r\n            .toLowerCase()\r\n            .replace(\/^\\w\/, c => c.toUpperCase());\r\n\r\n            if (index < path.length - 1) {\r\n                html += `<span class=\"separator\">\u203a<\/span><a href=\"${fullPath}\">${label}<\/a>`;\r\n            } else {\r\n                html += `<span class=\"separator\">\u203a<\/span><span>${label}<\/span>`;\r\n            }\r\n        });\r\n\r\n        const container = document.getElementById(\"breadcrumb-js\");\r\n        if (container) container.innerHTML = html;\r\n    });\r\n\r\n    \/*\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\ud83c\udfa8 ASTUCES DE PERSONNALISATION (\u00e0 modifier au besoin)\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n\r\n1. Modifier la couleur du dernier niveau (page courante) :\r\n\u2192 dans le CSS : change `color: #0d3182;` dans `.breadcrumb span`\r\n\r\n2. Modifier la couleur ou le style des liens :\r\n\u2192 dans `.breadcrumb a`, tu peux ajuster :\r\n- color (ex: #0073aa)\r\n- font-weight\r\n- text-transform\r\n\r\n3. Supprimer le fond gris clair :\r\n\u2192 supprime `background: #f4f6f8;` dans `.breadcrumb`\r\n\r\n4. Centrer le fil d\u2019Ariane :\r\n\u2192 ajoute `justify-content: center;` dans `.breadcrumb`\r\n\r\n5. Changer le s\u00e9parateur :\r\n\u2192 remplace `\u203a` dans le code HTML g\u00e9n\u00e9r\u00e9 (`.separator`)\r\nPar exemple : `&raquo;` (pour \u00bb) ou `\/`\r\n\r\n6. Supprimer \"Accueil\" du d\u00e9but :\r\n\u2192 commente ou supprime : `let html = '<a href=\"\/\">Accueil<\/a>';`\r\n\r\n7. Ajouter une classe sp\u00e9cifique au dernier segment :\r\n\u2192 tu peux remplacer `<span>` par `<span class=\"current\">` et styler `.current` comme tu veux\r\n\r\n8. Forcer un affichage responsive encore plus propre :\r\n\u2192 dans `.breadcrumb`, tu peux ajouter `flex-wrap: wrap;` et g\u00e9rer les `gap` ou marges\r\n\r\n\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\u2500\r\n*\/\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-9d353d3 e-con-full e-flex e-con e-parent\" data-id=\"9d353d3\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-c6ff247 elementor-widget__width-inherit elementor-widget elementor-widget-text-editor\" data-id=\"c6ff247\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-text-editor.elementor-drop-cap-view-stacked .elementor-drop-cap{background-color:#69727d;color:#fff}.elementor-widget-text-editor.elementor-drop-cap-view-framed .elementor-drop-cap{color:#69727d;border:3px solid;background-color:transparent}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap{margin-top:8px}.elementor-widget-text-editor:not(.elementor-drop-cap-view-default) .elementor-drop-cap-letter{width:1em;height:1em}.elementor-widget-text-editor .elementor-drop-cap{float:left;text-align:center;line-height:1;font-size:50px}.elementor-widget-text-editor .elementor-drop-cap-letter{display:inline-block}<\/style>\t\t\t\t<h2 style=\"text-align: justify;\">Qu\u2019est-ce qu\u2019un an\u00e9vrisme intracr\u00e2nien\u00a0?<\/h2><p style=\"text-align: justify;\">Les <strong>an\u00e9vrismes intracr\u00e2niens<\/strong> des malformations des art\u00e8res c\u00e9r\u00e9brales qui correspondent \u00e0 une <strong>dilatation anormale de leur paroi <\/strong><span style=\"color: #ed1164;\">(1)<\/span>.\u00a0 Ils sont pr\u00e9sents chez 2 \u00e0 5 % de la population g\u00e9n\u00e9rale.<\/p><p style=\"text-align: justify;\">Le risque principal des an\u00e9vrismes intracr\u00e2niens est leur rupture aboutissant \u00e0 une <strong>h\u00e9morragie m\u00e9ning\u00e9e<\/strong>, qui est un \u00e9v\u00e8nement grave pouvant mettre en jeu le pronostic vital. Celle-ci est rare avec une incidence estim\u00e9e entre 6 et 10 par 100 000 habitants par an (soit 1% de risque de rupture par an\u00e9vrisme par an).<span style=\"color: #ed1164;\">(2)(3)<\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-425514f e-flex e-con-boxed e-con e-parent\" data-id=\"425514f\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5ba6428 elementor-widget elementor-widget-image\" data-id=\"5ba6428\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-widget-image{text-align:center}.elementor-widget-image a{display:inline-block}.elementor-widget-image a img[src$=\".svg\"]{width:48px}.elementor-widget-image img{vertical-align:middle;display:inline-block}<\/style>\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"523\" height=\"281\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/anevrisme-intracranien.png\" class=\"attachment-full size-full wp-image-129\" alt=\"an\u00e9vrisme intracr\u00e2nien\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/anevrisme-intracranien.png 523w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/anevrisme-intracranien-300x161.png 300w\" sizes=\"(max-width: 523px) 100vw, 523px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-33901fc e-con-full e-flex e-con e-parent\" data-id=\"33901fc\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-fda0558 elementor-widget elementor-widget-text-editor\" data-id=\"fda0558\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<h2 style=\"text-align: justify;\">Comment sont-ils d\u00e9couverts\u00a0?<\/h2><p style=\"text-align: justify;\">Les an\u00e9vrismes intracr\u00e2niens sont tr\u00e8s fr\u00e9quemment d\u00e9couverts sur une imagerie c\u00e9r\u00e9brale r\u00e9alis\u00e9e pour une autre raison ou pour des sympt\u00f4mes sans rapport avec l\u2019an\u00e9vrisme = <strong>d\u00e9couverte fortuite<\/strong><\/p><p style=\"text-align: justify;\">Il n\u2019existe pas de d\u00e9pistage syst\u00e9matique des an\u00e9vrismes en dehors d\u2019un d\u00e9pistage lorsque le patient\/la patiente pr\u00e9sente plusieurs ant\u00e9c\u00e9dents familiaux d\u2019an\u00e9vrisme ou de rupture d\u2019an\u00e9vrisme.<\/p><p style=\"text-align: justify;\">Certains an\u00e9vrismes intracr\u00e2niens sont d\u00e9couverts dans le cadre d\u2019une compression de structures nerveuses pouvant aboutir \u00e0 un sympt\u00f4me neurologique.<\/p><p style=\"text-align: justify;\">L\u2019an\u00e9vrisme peut \u00e9galement \u00eatre d\u00e9couverte sur l\u2019imagerie r\u00e9alis\u00e9e en urgence lors de l\u2019apparition des sympt\u00f4mes de l\u2019h\u00e9morragie m\u00e9ning\u00e9e.<\/p><h2 style=\"text-align: justify;\">Quelles sont les prises en charge possibles\u00a0?<\/h2><p style=\"text-align: justify;\">Il existe 3 prises en charge des an\u00e9vrismes intracr\u00e2niens\u00a0:<\/p><h3 style=\"text-align: justify;\">\u00a0Surveillance<\/h3><ul style=\"text-align: justify;\"><li>An\u00e9vrisme de petite taille, sans facteur de risque de rupture<\/li><li>Suivi organis\u00e9 par les neuroradiologues ou neurochirurgiens avec imagerie de contr\u00f4le<\/li><\/ul><h3 style=\"text-align: justify;\">Prise en charge en neuroradiologie interventionnelle<\/h3><ul style=\"text-align: justify;\"><li>Apr\u00e8s discussion en r\u00e9union de concertation pluridisciplinaire<\/li><li>Exclusion de l\u2019an\u00e9vrisme par <strong>voie endovasculaire<\/strong><\/li><li>https:\/\/www.chu-tours.fr\/nri\/<\/li><\/ul><h3 style=\"text-align: justify;\">Prise en charge neurochirurgicale<\/h3><ul style=\"text-align: justify;\"><li>Apr\u00e8s discussion en r\u00e9union de concertation pluridisciplinaire<\/li><li>Exclusion de l\u2019an\u00e9vrisme <strong>par voie microchirurgicale<\/strong><\/li><\/ul><h2 style=\"text-align: justify;\">Comment se d\u00e9roule la chirurgie\u00a0?<\/h2><p style=\"text-align: justify;\">S\u2019il existe une indication \u00e0 une prise en charge neurochirurgicale de l\u2019an\u00e9vrisme, le patient est vu en <strong>consultation<\/strong> par le\/la neurochirurgien apr\u00e8s la r\u00e9alisation d\u2019une art\u00e9riographie.<\/p><p style=\"text-align: justify;\">L\u2019imagerie et les informations sur les an\u00e9vrismes lui sont expliqu\u00e9es ainsi que les principes de la chirurgie, de l\u2019hospitalisation et les risques.<\/p><h2 style=\"text-align: justify;\">Chirurgie<\/h2><p style=\"text-align: justify;\">Il s\u2019agit d\u2019une chirurgie r\u00e9alis\u00e9e <strong>sous anesth\u00e9sie g\u00e9n\u00e9rale<\/strong>, le principe est de placer un <strong>clip chirurgical<\/strong> sur le collet (la base) de l\u2019an\u00e9vrisme apr\u00e8s ouverture cr\u00e2nienne.<\/p><p style=\"text-align: justify;\">Le principale risque de l\u2019intervention est un AVC pouvant entrainer des s\u00e9quelles temporaires ou permanentes (4 \u00e0 5%).<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-eea2356 e-flex e-con-boxed e-con e-parent\" data-id=\"eea2356\" data-element_type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-70db74b elementor-widget elementor-widget-image\" data-id=\"70db74b\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"708\" height=\"393\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/clip-anevrisme.png\" class=\"attachment-full size-full wp-image-578\" alt=\"Clip d\u2019un an\u00e9vrisme intracr\u00e2nien\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/clip-anevrisme.png 708w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2026\/03\/clip-anevrisme-300x167.png 300w\" sizes=\"(max-width: 708px) 100vw, 708px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 1. Clip d\u2019un an\u00e9vrisme intracr\u00e2nien<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6c2bb35 elementor-widget elementor-widget-text-editor\" data-id=\"6c2bb35\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p style=\"text-align: center;\"><span style=\"font-size: 10pt; color: #808080;\"><em>Cr\u00e9dit Adobe stock | <a style=\"color: #808080;\" href=\"https:\/\/stock.adobe.com\/fr\/contributor\/206211970\/maniki?load_type=author&amp;prev_url=detail\" target=\"_blank\" rel=\"noopener\">maniki<\/a><\/em><\/span><\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-193f4f7 e-con-full e-flex e-con e-parent\" data-id=\"193f4f7\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-003d559 elementor-widget elementor-widget-text-editor\" data-id=\"003d559\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<p>Il est primordial de discuter des b\u00e9n\u00e9fices et risques de la chirurgie avec le neurochirurgien.<\/p><p><strong>La dur\u00e9e d\u2019hospitalisation est de 4 \u00e0 7 nuits<\/strong>\u00a0:<\/p><ul><li>Arriv\u00e9e la veille de l\u2019intervention<\/li><li>2 nuits en unit\u00e9 de soins continus neurochirurgicale<\/li><li>1 \u00e0 3 nuits en hospitalisation compl\u00e8te<\/li><li>Puis <strong>retour \u00e0 domicile<\/strong><\/li><\/ul><h2>Et la suite ?<\/h2><p>Le patient b\u00e9n\u00e9ficie d\u2019une <strong>imagerie de contr\u00f4le<\/strong> (angioTDM le plus souvent).<\/p><p>Il est ensuite suivi r\u00e9guli\u00e8rement par le neurochirurgien avec des contr\u00f4les par imagerie c\u00e9r\u00e9brale r\u00e9guli\u00e8re.<\/p>\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-8184e98 e-con-full e-flex e-con e-parent\" data-id=\"8184e98\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-ce730e8 elementor-widget elementor-widget-image\" data-id=\"ce730e8\" data-element_type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t<figure class=\"wp-caption\">\n\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1023\" height=\"662\" src=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Arteriographie-av-apr-chir-exclusion-.jpg\" class=\"attachment-full size-full wp-image-130\" alt=\"Art\u00e9riographie\" srcset=\"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Arteriographie-av-apr-chir-exclusion-.jpg 1023w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Arteriographie-av-apr-chir-exclusion--300x194.jpg 300w, https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-content\/uploads\/sites\/18\/2025\/10\/Arteriographie-av-apr-chir-exclusion--768x497.jpg 768w\" sizes=\"(max-width: 1023px) 100vw, 1023px\" \/>\t\t\t\t\t\t\t\t\t\t\t<figcaption class=\"widget-image-caption wp-caption-text\">Figure 2. Art\u00e9riographie avant et apr\u00e8s chirurgie d'exclusion d'an\u00e9vrisme par clip chirurgical<\/figcaption>\n\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div class=\"elementor-element elementor-element-6fdfcaf e-con-full e-flex e-con e-parent\" data-id=\"6fdfcaf\" data-element_type=\"container\">\n\t\t\t\t<div class=\"elementor-element elementor-element-5b40b64 elementor-widget elementor-widget-toggle\" data-id=\"5b40b64\" data-element_type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<style>\/*! elementor - v3.23.0 - 15-07-2024 *\/\n.elementor-toggle{text-align:start}.elementor-toggle .elementor-tab-title{font-weight:700;line-height:1;margin:0;padding:15px;border-bottom:1px solid #d5d8dc;cursor:pointer;outline:none}.elementor-toggle .elementor-tab-title .elementor-toggle-icon{display:inline-block;width:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon svg{margin-inline-start:-5px;width:1em;height:1em}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-right{float:right;text-align:right}.elementor-toggle .elementor-tab-title .elementor-toggle-icon.elementor-toggle-icon-left{float:left;text-align:left}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-closed{display:block}.elementor-toggle .elementor-tab-title .elementor-toggle-icon .elementor-toggle-icon-opened{display:none}.elementor-toggle .elementor-tab-title.elementor-active{border-bottom:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-closed{display:none}.elementor-toggle .elementor-tab-title.elementor-active .elementor-toggle-icon-opened{display:block}.elementor-toggle .elementor-tab-content{padding:15px;border-bottom:1px solid #d5d8dc;display:none}@media (max-width:767px){.elementor-toggle .elementor-tab-title{padding:12px}.elementor-toggle .elementor-tab-content{padding:12px 10px}}.e-con-inner>.elementor-widget-toggle,.e-con>.elementor-widget-toggle{width:var(--container-widget-width);--flex-grow:var(--container-widget-flex-grow)}<\/style>\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-9561\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-9561\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><svg class=\"e-font-icon-svg e-fas-caret-right\" viewBox=\"0 0 192 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M0 384.662V127.338c0-17.818 21.543-26.741 34.142-14.142l128.662 128.662c7.81 7.81 7.81 20.474 0 28.284L34.142 398.804C21.543 411.404 0 402.48 0 384.662z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><svg class=\"elementor-toggle-icon-opened e-font-icon-svg e-fas-caret-up\" viewBox=\"0 0 320 512\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path d=\"M288.662 352H31.338c-17.818 0-26.741-21.543-14.142-34.142l128.662-128.662c7.81-7.81 20.474-7.81 28.284 0l128.662 128.662c12.6 12.599 3.676 34.142-14.142 34.142z\"><\/path><\/svg><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">Bibliographie<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-9561\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-9561\"><ol start=\"1\"><li>R\u00e9f\u00e9rentiel Coll\u00e8ge de Neurochirurgie Coll\u00e8ge de Neurochirurgie.<\/li><li>A Pragmatic Randomized Trial Comparing Surgical Clipping and Endovascular Treatment of Unruptured Intracranial Aneurysms<\/li><li>2023 Guideline for the Management of Patients With Aneurysmal Subarachnoid Hemorrhage: A Guideline From the American Heart Association\/American Stroke Association<\/li><\/ol><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Qu\u2019est-ce qu\u2019un an\u00e9vrisme intracr\u00e2nien\u00a0? Les an\u00e9vrismes intracr\u00e2niens des malformations des art\u00e8res c\u00e9r\u00e9brales qui correspondent \u00e0 une dilatation anormale de leur paroi (1).\u00a0 Ils sont pr\u00e9sents chez 2 \u00e0 5 % de la population g\u00e9n\u00e9rale. Le risque principal des an\u00e9vrismes intracr\u00e2niens est leur rupture aboutissant \u00e0 une h\u00e9morragie m\u00e9ning\u00e9e, qui est un \u00e9v\u00e8nement grave pouvant mettre [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":274,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"_genesis_hide_title":false,"_genesis_hide_breadcrumbs":false,"_genesis_hide_singular_image":false,"_genesis_hide_footer_widgets":false,"_genesis_custom_body_class":"","_genesis_custom_post_class":"","_genesis_layout":"","footnotes":""},"publishpress_future_action":{"enabled":false,"date":"2026-04-26 20:58:33","action":"change-status","newStatus":"draft","terms":[],"taxonomy":""},"_links":{"self":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/277"}],"collection":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/comments?post=277"}],"version-history":[{"count":10,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/277\/revisions"}],"predecessor-version":[{"id":589,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/277\/revisions\/589"}],"up":[{"embeddable":true,"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/pages\/274"}],"wp:attachment":[{"href":"https:\/\/www.chu-tours.fr\/neurochirurgie\/wp-json\/wp\/v2\/media?parent=277"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}