Evidence map›Paper›PMID 42747682›Full record

SynthesisNeurosurgical review2026

Aneurysms of the meningeal arteries: systematic review and illustrative case series.

Artem Stanishevskiy, Konstantin Babichev, Dmitriy Svistov, Alexander Savello, Roman Martynov

Abstract readSystematic Review
PubMed Publisher
In one paragraph

Synthesis in Neurosurgical review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Artem StanishevskiyDepartment of Neurosurgery, Military Medical Academy, Saint- Petersburg, 194044, Russia. a-stan@mail.ru.ORCID https://orcid.org/0000-0002-2615-269X
Konstantin BabichevDepartment of Neurosurgery, Military Medical Academy, Saint- Petersburg, 194044, Russia.
Dmitriy SvistovDepartment of Neurosurgery, Military Medical Academy, Saint- Petersburg, 194044, Russia.
Alexander SavelloDepartment of Neurosurgery, Military Medical Academy, Saint- Petersburg, 194044, Russia.
Roman MartynovDepartment of Neurosurgery, Military Medical Academy, Saint- Petersburg, 194044, Russia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Meningeal artery aneurysms are a rare but clinically significant pathology, distinct from cerebral aneurysms and classified as traumatic (trAA) or non-traumatic (non-trAA). Their natural history, optimal diagnosis, and management remain poorly defined. A PRISMA-guided systematic review was conducted (PubMed/MEDLINE, Scopus, Web of Science) up to July 2025. We analyzed all reported cases of meningeal artery aneurysms to develop a novel pathophysiology-based classification and evaluate treatment outcomes. A supplementary institutional series of nine combat-related trAA cases is presented. Among 144 analyzed cases (44 non-trAA, 100 trAA), a new classification system was proposed. Non-trAA were categorized as sporadic (32%), hemodynamic/flow-related (61%), or genetic / dysplastic (7%). Hemodynamic subtypes were associated with hypervascular tumors, AV-shunts, atherosclerotic stenosis and developmental abnormalities. Rupture rates were high in sporadic (79%) and hemodynamic (52%) subtypes, with subdural and intracerebral hemorrhages predominating. Delayed rupture occurred in 26% of trAA cases (median latency 14 days). Endovascular techniques becoming the primary treatment implemented in 72% of recent cases (after 2002). Outcomes were significantly worse for ruptured aneurysms (35% poor outcomes) versus non-ruptured (6%). Though uncommon, aneurysms of the meningeal arteries - whether spontaneous, disease-related, or traumatic - remain a frequently overlooked threat in neurosurgical practice. Clinical recognition of meningeal aneurysm risk factors enables targeted diagnostic evaluation and timely intervention, thereby facilitating minimally invasive treatment approaches that optimize patient outcomes.

Indexed as

Aneurysm, RupturedIntracranial AneurysmMeningeal ArteriesAdultEndovascular ProceduresFemaleHumansMaleMiddle AgedAneurysmEpidural hematomaHemorrhageMeningeal arteryPseudoaneurysm

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.