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An Aneurysm by Any Other Name

Published:November 13, 2015DOI:https://doi.org/10.1016/j.acra.2015.10.008
      I applaud Amber et al for their piece in the August issue of Academic Radiology in which they explore the impact of diagnosing small intracranial aneurysms (
      • Amber I.
      • Mohan S.
      • Nucifora P.
      Intracranial aneurysms: a game of millimeters.
      ). The topic is truly deserving of attention as these lesions are not uncommonly encountered by neuroradiologists and general radiologists alike. Further, the reporting of these lesions often leads to a cascade of events that may or may not be based on scientific evidence and that may result in unnecessary and potentially harmful repercussions. In their conclusion, Amber et al state that “a change in the nomenclature of small aneurysms is a possible solution to mitigate patient anxiety from a diagnosis of intracranial aneurysm.” I would like to provide a counterargument with the assertion that such proposed changes in nomenclature would provide little actual benefit for patients.
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