Cerebral Aneurysm - Diagnosis and Treatment Options at We Care India

Cerebral Aneurysm - Diagnosis and Treatment Options at We Care India

Cerebral Aneurysm

A cerebral aneurysm is an abnormal swelling of a blood vessel wall inside the brain. A cerebral aneurysm occurs at a weak point in the wall of a blood vessel (artery) that supplies blood to the brain. The bulging aneurysm can put pressure on a nerve or surrounding brain tissue. It may also leak or rupture, spilling blood into the surrounding tissue (called a hemorrhage). Some cerebral aneurysms, particularly those that are very small, do not bleed or cause other problems.

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Causes of Cerebral Aneurysm

Aneurysms are also classified by size. Small aneurysms are less than 11 millimeters in diameter (about the size of a standard pencil eraser), larger aneurysms are 11-25 millimeters (about the width of a dime), and giant aneurysms are greater than 25 millimeters in diameter (more than the width of a quarter).

Symptoms of Cerebral Aneurysm

Aneurysms usually cause no symptoms unless they rupture and cause bleeding into the brain. However, a sudden, extremely severe "thunder-clap" headache is the telltale symptom that an aneurysm has ruptured.

Symptoms of a ruptured brain aneurysm often come on suddenly. They may include : -

* Sudden, severe headache (sometimes described as a "thunderclap" headache that is very different from any normal headache).

* Neck pain.

* Nausea and vomiting.

* Sensitivity to light.

* Fainting or loss of consciousness.

* Seizures.

* Speech impairement

* Eyelid drooping

* Stiff neck

Diagnosis of Cerebral Aneurysm

On the CT scan it may be possible to see an evidence of hemorrhage associated with a brain aneurysm.

* CT Angiography : - is a noninvasive way of seeing brain blood vessels but often does not give well defined images with which to plan treatment.

* MRI : - examination shows in detail the aneurysm and it relationship to the brain.

* Carotid & Vertebral digital substraction angiography : - is the definitive method to detect aneurysms. Using a groin artery, a catheter is placed in the blood vessels leading to the brain and a contrast agent or dye is injected to photograph the blood vessels.

Treatment of Cerebral Aneurysm

Unruptured aneurysm would probably be treated with a surgical procedure called the clip ligation, as described below.

Most cerebral aneurysms can be fixed with microsurgery that will involve either : -

* Clipping the "neck" of the aneurysm at the artery, to cut off the blood flow

* Repairing the aneurysm through a catheter inserted into the damaged blood vessel

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