Introduction:

The management of brain aneurysms has evolved over the centuries, it seeks to evaluate the medical, endovascular and surgical management of the broken and not broken brain aneurysms over time, from the first times they were treated even the innovations that are being carried out.

Materials and methods:

A review of articles searched in the PubMed database was carried out, searching for Mesh Terms with selected words related to the topic and articles were also selected according to the author's criteria. Data extraction in Rayyan.

Results:

48 articles were selected within the Pubmed search and according to the author's own criteria. 8 articles were included in the Past section, 35 articles in the Present section, and 5 articles in the Future section.

Discussion:

Aneurysm management was divided into 3 sections: past (past-1999), present (2000-2020) and future (2021-future). Each section had 3 groups: medical, endovascular and surgical management.

Conclusions:

The management of non-broken and broken aneurysms has pharmacological, neuro-interventionism and neuro-surgical methods to be able to address each patient's pathology in an individualized and integral way.

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