All you need to know about the brain aneurysm

Written by: Dr. Andrés Beltrán Giner
Published: | Updated: 25/05/2018
Edited by: Top Doctors®

A cerebral aneurysm is a dilatation of an artery wall mainly due to a structural alteration of the same, leading to thinning and consequently a possible rupture, resulting in a brain hemorrhage known as subarachnoid hemorrhage.

Cerebral aneurysms are usually asymptomatic. Incidentally you can know of its existence when the patient is brain Magnetic Resonance practice looking for another pathology. Most frequently detected after suffering a subarachnoid hemorrhage patient is diagnosed with TAC and then using a cerebral cerebral arteriography, which is the gold standard test for diagnosis.

 

Consequences of aneurysm rupture

A ruptured aneurysm causes a sudden and intense headache that may be accompanied by nausea and vomiting and can affect the level of consciousness even to the point or sudden death. This break can not be prevented because the symptomatology is produced when the aneurysm has already broken. In the case of incidental aneurysms on surgical or endovascular treatment prevents breakage.

A ruptured cerebral aneurysm should be considered an emergency and the patient should be monitored in a ICU unit. You should practice a complete cerebral arteriography to get the diagnosis and then a multidisciplinary team of vascular neurologists, neuroradiologists and neurosurgeons, will decide the most appropriate treatment for the case. This treatment may be endovascular, which consists of filling the aneurysmal sac coils to the aneurysm neck;or surgical, which consists in making an craniotomy and address the aneurysm via brain, placing a clip on the neck of the aneurysm to close it in a definitive way.

 

Aftermath after suffering an aneurysm

A patient suffering from a ruptured brain aneurysm can achieve up to 50 % mortality regardless of treatment that is applied. Of the remaining 50 %, one third are left with severe and disabling sequelae ( hemiplegia, aphasia... ), another third are left with less serious consequences but disabling him for his usual work ( disorders the ) memory and the remaining third are returning to normal life. Thus only 1 in 6 patients suffering from aneurysmal rupture return to their usual work. If we detect an aneurysm prior to rupture, the chance of bleeding varies between 1 and 3 % per year. We recommend treating these incidental aneurysms.

 

*Translated with Google translator. We apologize for any imperfection

By Dr. Andrés Beltrán Giner
Neurological Surgery

Dr. Beltran is a renowned expert in neurosurgery. With over 30 years experience in the profession, he graduated and specialized with outstanding rating. He is currently the head of section of Neurosurgery and Vascular Surgery units Brain and Skull Base Hospital Universitario La Fe de Valencia. In addition, also he serves on the House Health Hospital of Valencia. On the other hand, it has been organizing various specialty conferences and speaker. It has several important awards for his profesionālo, such as Gold Star Award in recognition of the professional prestige and the European Medal for Merit in Work, awarded by the European Association of Economy and Competitiveness work.

 

*Translated with Google translator. We apologize for any imperfection

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