What is a Brain Aneurysm ?
An aneurysm is a weak area in the wall of a blood vessel that causes the blood vessel to bulge or balloon out. When an aneurysm occurs in a blood vessel of the brain, it is called a cerebral aneurysm. An aneurysm may be present from birth (congenital) or it may develop later in life, such as after a blood vessel is injured. An aneurysm can affect any vessel in the body but only those in the head can cause a serious medical condition, a hemorrhagic stroke when they rupture, which can lead to brain damage and death.
Cerebral Aneurysm Treatment
The main goals of treatment once an aneurysm has ruptured are to stop the bleeding and potential permanent damage to the brain and to reduce the risk of recurrence. Unruptured brain aneurysms are sometimes treated to prevent rupture.
There are two main types of treatment for a brain aneurysm:
Preventative Treatment: where an aneurysm is treated to prevent it from rupturing
Emergency Treatment: where an aneurysm is repaired after it ruptures
Ruptured Cerebral Aneurysm Symptoms
Symptoms and Diagnosis of Brain Aneurysms
When an aneurysm ruptures, called subarachnoid hemorrhage, people often complain of "the worst headache of their life." Other ruptured cerebral aneurysm symptoms may include Nausea and vomiting, Stiff neck or neck pain, Blurred vision or double vision,Pain above and behind the eye, Dilated pupils, Sensitivity to light and Loss of sensation etc..
Ruptured Cerebral Aneurysm Symptoms
Most aneurysms are asymptomatic, particularly ones that are small. Occasionally, large aneurysms may cause the following symptoms related to pressure on the adjacent brain or nerves like Peripheral vision deficits, Thinking or processing problems, Speech complications, Perceptual problems, Sudden changes in behavior, Loss of balance and coordination, Decreased concentration, Short-term memory loss and Fatigueness.
Diagnosis of Brain Aneurysms
Most of the aneurysms are found prior to rupturing because CT and MRI are now used commonly to assess patients with these complaints.While CT and MR can show many aneurysms, most patients with aneurysms need a cerebral angiogram for definitive diagnosis and to determine the best treatment.
Surgical treatments available in India for Cerebral Aneurysm
Not all aneurysms need to be treated and your neurosurgeon or physician may elect to closely observe your aneurysm. There are two main treatment options for patients who need to have their aneurysm treated:
Neurosurgical clipping is a procedure carried out under general anaesthetic (you're asleep throughout). A cut is made in your scalp and a small flap of bone is removed to reveal your brain underneath.When the aneurysm is located, the neurosurgeon (an expert in surgery of the brain and nervous system) will seal it shut using a tiny metal clip. After the bone flap has been replaced, the scalp is stitched together.This prevents the blood flow from entering the aneurysm. Most elective patients spend 2-3 nights in the hospital and then will go home on light restricted activity for 1-2 months after surgery.
Endovascular coiling involves inserting a catheter into an artery in your leg or groin. The tube is guided through the network of blood vessels into your head and finally into the aneurysm. Tiny platinum coils are then passed through the tube into the aneurysm. The coils block the flow of blood into the aneurysm. Over time this should seal the aneurysm off from the main artery to prevent it from rupturing.
Dr Prince Gupta
Dr Prince Gupta is an experienced joint and spine surgeon practicing at GNH Hospital Gurgaon India. Dr Prince Gupta is highly qualified orthopaedic and spine surgeon with experience of more than 12 years. Dr Prince Gupta is especially trained in joint replacement surgeries that involve knee replacement, hip replacement, shoulder replacement and elbow replacement surgeries. Apart from joint surgeries Dr Gupta is also vastly experienced in performing orthopaedic spine surgeries using the best techniques as per the international standards.
Dr Vikas Kathuria
Dr Vikas Kathuria specialized in Neurosurgery from PGI Rohtak and has been doing all kinds of complex Brain Tumour and Spine Surgeries. He is Consultant Neurosurgeon at GNH Hospital Gurgaon and Max Hospital Gurgaon. He also specializes in all kinds of Head Injuries and management of critically injured patients.