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Brain aneurysms don’t always require treatment

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MAY CLINIC: My dad collapsed recently. After a CT scan, he was diagnosed with cerebral anerysm. What is cerebral aneurysm, and how is it treated? Where is the risk of stroke?

ANSWER: A aneurysm of the brain is to drive the nerve inside brain which develops due to the narrowing of the blood vessels. In the brain anerysm which explodes, or explodes, causing a great medical emergency.

Studies show that 35,000-40,000 brain aneurysms occur each year in the United States every year.

However, most aneurysms do not rupture, and some non-ruptured do not require treatment. Many people, like your father, find out about anerysm only after they have a brain scan for something else. It is common to health professionals who manages cerebral aneurysms to see patients after unrelated findings show sudden abdominal pain.

Smoking and high blood pressure may increase a person’s risk of developing cerebral aneurysm. A few genes can also contribute. People with two or more family members with a history of cerebral aneurysm have a higher risk of developing cerebral palsy.

Most unexplained cerebral aneurysms do not cause symptoms. Hardly, aneurysm will continue brain tissue or nerve, causing pain. two perspectives, loss of vision, facial expressions or impairments, or instability. In patients with headache and cerebral aneurysm, these may or may not improve after treatment.

Typically, non-invasive brain anerysm is detected on a CT or MRI scan of the brain done for non-invasive purposes. A special CT scan called a CT angiogram or magnetic resonance imaging called an angiogram magnetic resonance imaging can be used to look at the aneurysm in detail. For some cerebral aneurysms, a minimally invasive procedure called cerebral angiogram may be recommended to obtain an idea of ​​aneurysm and surrounding blood vessels in the highest resolution. These are ideas for guidance treatment recommendations.

When undetectable aneurysm is diagnosed, the risk associated with aneurysm without treatment should be considered. This treatment decision is individual and based on patient experiences and specific anerysm.

The collapse of the aneurysm of the brain results in a type of severe stroke called subarachnoid hemorrhage, which includes bleeding in the upper and lower extremities of the brain. These strokes can be life-threatening if not treated immediately. The most common symptom of encephalitis is a sudden onset of severe headaches, often described as “the worst headache of my life.” This may or may not be associated with other neurologic symptoms, including reduced cognitive function. A health care professional should quickly assess such symptoms.

A number of factors should be considered when assessing a person’s risk of anerysm and making decisions about treatment. The risk of rupture is higher for large aneurysms. In general, aneurysms in the front of the brain have a lower risk of rupture than those in the back. The appearance of aneurysm affects the treatment decision, too. Family medical history should be considered, as age and general health.

Small, unexplained anevurysms, especially in front of the brain, are sometimes left unsafe, especially in older patients and those who have no family history of aneurysm outbreaks or other risk factors such as low blood pressure. If it is decided to operate the nerve without surgery or any intervention, periodic brain scan is recommended to ensure the aneurysm does not change.

If it is decided to treat an unexplained anerysm, the options usually include surgery or artery stenosis.

During surgery, after removing a small area of ​​the skull and slowly expanding the space in the brain, the neurosurgeon placed a small piece of titanium plate on top of the aneurysm to stop blood from flowing into it. The skull was later replaced.

With endovascular coiling, the neuroendovascular surgeon inserts a plastic tube, or catheter, into the wrist vein or groin, and directs it to the aneurysm using X-ray diffraction and contrast. A small piece of platinum wire passes through the catheter into the aneurysm. The wire twists in the aneurysm, clogging it and causing blood clots in the aneurysm. This closes the aneurysm from the nerve.

Some endovascular techniques may be necessary for some aneurysms, including the placement of a special stent in the blood vessels near the aneurysm. Both techniques have their advantages and disadvantages, and it is important to discuss these with your health care professional.

Regardless of whether or not an undiagnosed brain anerysm has been used, controlling high blood pressure and quitting smoking are important ways to reduce the risk of growth and rupture.

When deciding how to treat untreated encephalitis, look for a health care team that includes a psychiatrist, psychiatrist and psychiatrist with expertise in the treatment of anerysm. A collaborative team can offer all management options, and this generally results in better results.

Also, once you learn more about your father’s condition, your health care team will be able to guide you through a more appropriate test for you and other family members. An annual CT or MRI may be recommended, but adjusting your lifestyle choices and recognizing your risk may be all that is necessary today.

With the help of these specialists, patients can carefully consider their options and decide what is best for them.


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