Reviewed By: Pramod Kerkar, MD, FFARCSI

Brain aneurysm problem involves ballooning of blood vessels in human brain and it is a life-threatening problem. A combination of genetic and environmental factors is responsible for the development of the problem.

Specific medical condition, like head trauma and high blood pressure and AVMs i.e. Ateriovenous Malformations are responsible for increasing the risk related to brain aneurysm. Brain aneurysm problem has a few common symptoms i.e. visual disturbances, headache, confusion, fainting and seizures. Doctors diagnose the problem of brain aneurysm based on MRI, CT scan, blood tests and other forms of imaging techniques available in the medical sector.

Key Aspects about Brain Aneurysms Treatment and Outcomes

Treatment associated with un-ruptured type of intracranial aneurysms is highly controversial. A few investigators have suggested that aneurysms of less than 10mm may left alone while larger than it should require treatments, especially in patients of less than 50 years age.

Mortality and Morbidity Rates

Controversy arises from the surgical morbidity and mortality of surgically treated brain aneurysms. Mortality or death rate may go to 3.8percent, while morbidity or complications development rate may be of very high as equal to 15.7percent. Most of the investigators have suggested that aneurysms bigger than 10mm do not have any relation with symptoms related to its treatment, particularly among patients with already existing other medical conditions.

Clipping Surgical Method

Surgical treatment involves clipping method, where surgeons place a clip at the brain aneurysm’s base in patients. Doctors perform this process often in patients with good health, while less likely in individuals with poor health as well as severe medical conditions.

Coiling or Endovascular Therapy

In case of coiling or endovascular therapy, surgeons coil a small and a thin platinum wire within the aneurysm by using a catheter of blood vessel. This is alternative surgical procedure, which results in aneurysm obliteration. Main objective of this treatment associated with un-ruptured type of intracranial aneurysm is to avoid bleeding inside the brain of a patient.

Treatments for Ongoing Brain Bleeding Problem

Ongoing bleeding associated with the problem of brain aneurysm normally requires consultation with a good neurologist, neurosurgeon or an interventional radiologist. These experts decide the requirement of interventional therapies or surgical procedures by considering the condition of a patient. For instance, your neurosurgeon may decide for suction of blood from the affected area in case the aneurysm is of relatively small and does not cause any type of catastrophic brain damage.

However, in some cases, brain aneurysm related bleeding leads to a medical emergency. This means, patients have to undergo with necessary medical treatments to alleviate or reduce the symptoms. Especially, you may take Nimodipine for the prevention of various abnormal spasms of arteries present in your brain. In addition, you may avoid and/or treat seizures with phenytoin anti-epileptic drug. Along with this, usage of antihypertensive medications, such as labetalol reduce pressure on the walls of blood vessel present in the brain for reducing the chances or risks of bleeding in brain.

What are the Odds of Surviving a Brain Aneurysm?

What are the Odds of Surviving a Brain Aneurysm?

Research studies have estimated that approximately 6 million of patients had suffered from un-ruptured type of brain aneurysm in United States; while about 10percent to 15percent of them have more than one aneurysm. Someone with this type of problem has only 1% chance to rupture the problem yearly. Patients with giant type of aneurysms i.e. of more than 1-inch diameter remain at relatively higher risk of rupture problem. Survival rate in this case becomes 60% only. Moreover, people who survive and succeed to recover, about 66 percent of them deal with permanent type of neurological defect.

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Pramod Kerkar

Written, Edited or Reviewed By:

, MD,FFARCSI

Pain Assist Inc.

Last Modified On: September 21, 2018

This article does not provide medical advice. See disclaimer

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