Brain Aneurysm

A brain aneurysm is an outward bulging or ballooning of a weak spot in the wall of an artery that supplies blood to the brain. Although they do not always break but in some cases they may rupture or leak, releasing blood into the brain and causing a hemorrhagic stroke that may cause brain damage or even death.

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Introduction

A brain aneurysm is an outward bulging or ballooning of a weak spot in the wall of an artery that supplies blood to the brain. Although they do not always break but in some cases they may rupture or leak, releasing blood into the brain and causing a hemorrhagic stroke that may cause brain damage or even death.

The network of blood vessels at the base of the brain called the circle of Willis

Causes

Aneurysms have a variety of causes including:

  • High blood pressure
  • Atherosclerosis
  • Trauma
  • Heredity
  • Abnormal blood flow at the junction where arteries come together
  • Infections of the artery wall
  • Brain tumors
  • Drug abuse, especially cocaine
Diagnosis

Early diagnosis of brain aneurysm prevents rupturing of the vessels and involves the following:

  • Complete history of the patient
  • Thorough physical & neurological examination
  • CT scan
  • Lumbar puncture
  • Angiography
  • MRI scan
  • Cerebral angiogram

Symptoms

Headache

Possible Symptoms of a Brain Aneurysm:
Sudden, severe, and unbearable headache unlike any experienced before
Neck pain and stiffness
Nausea and vomiting
Blurred or double vision
Fatigue
Loss of balance and coordination
Short-term memory difficulties
Decreased concentration
Perceptual problems
Sudden changes in behavior and speech
Thinking or processing difficulties
Loss of sensations
Fainting or loss of consciousness
Sensitivity to light
Pain above and behind the eye
Dilated pupil
Seizures

Treatments

Endovascular coiling doesn’t require any surgery that opens the skull. Surgeon will insert a catheter into your groin to reach the affected blood vessel where the aneurysm is located and will send tiny platinum coils through these tube and place them inside the aneurysm. Such coils conform to the shape of the aneurysm, stopping the blood flow there. This may be safer than surgical clipping, but it has a higher chance of the aneurysm bleeding again.
This Flow diverter surgery is for larger brain aneurysms in which neither clipping nor coiling would work. In such procedure, surgeon inserts a stent, usually made of metal mesh, inside the artery. It becomes a wall inside these vessel to divert blood away from the aneurysm.
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