The balance of risks of treatment for unruptured aneurysms might change if
the prognosis after rupture depends on the size of the aneurysm. In a prosp
ective series of patients with subarachnoid hemorrhage in whom aneurysmal s
ize was measured by CT angiography performed on admission, poor outcome occ
urred more often in patients with large (greater than or equal to 10 mm) an
eurysms (63%) than in patients with small (<10 mm) aneurysms (41%; RR = 1.5
; 95% CI 1.0 to 2.2). The relative risk remained essentially the same after
adjustment for age, gender, location of the aneurysm, and amount of cister
nal blood.