Contact Form

Kamran Aghayev

Treating Brain Aneurysms

A brain aneurysm is a bulge in a blood vessel within the brain, formed due to a weakened area in the blood vessel wall. The risk lies in the potential rupture of this aneurysm, leading to a life-threatening condition known as a subarachnoid hemorrhage. 

The treatment of brain aneurysms largely depends on their rupture status and the specific characteristics of the aneurysm. This article will provide an overview of the primary treatment options available for brain aneurysms.

Elective vs. Emergency Treatment

The approach to treating aneurysms significantly depends on whether the aneurysm has ruptured or not. Unruptured aneurysms are typically discovered incidentally on brain scans conducted for unrelated reasons. In such cases, there may not be an urgent need for intervention, and the treatment is usually carried out electively, after weighing the risks and benefits.

On the other hand, if an aneurysm has ruptured, causing bleeding into the brain, it constitutes a medical emergency. Such aneurysms need to be treated as soon as possible to prevent further bleeding and to mitigate the potentially severe consequences.

Treatment Options

The two primary treatment modalities for brain aneurysms are:

1. Microsurgical Clipping

Microsurgical clipping is a procedure performed by neurosurgeons. It involves making a small opening in the skull to access the aneurysm and placing a tiny metal clip across the neck of the aneurysm. This obstructs the flow of blood into the aneurysm, effectively excluding it from the blood circulation. The rate of complete occlusion (closure) is high, and recurrence following microsurgical clipping is very low. An added advantage of surgical intervention is the ability to remove blood clots from the brain, which can reduce the rate of vasospasm (a narrowing of blood vessels due to a spasm, reducing blood flow) and hydrocephalus (a buildup of fluid in the brain).

2. Endovascular Treatment

Endovascular treatment is a less invasive procedure compared to microsurgical clipping. It includes various types of interventions aiming to either fill the aneurysm or divert the flow from the aneurysm, thereby reducing the chance of bleeding. This type of treatment is usually provided by either neurosurgeons or interventional radiologists. The major advantage is the avoidance of open brain surgery. However, the long-term occlusion rates may not be as satisfactory as those achieved with microsurgical clipping.

The decision between these treatment options should be made by a team of experienced practitioners who are proficient in both treatment modalities. The team will consider factors such as the size, location, and shape of the aneurysm; the patient's age, health status, and personal preference; and the risks associated with treatment.

Recovery

After treatment for a brain aneurysm, patients are closely monitored to ensure that there are no complications. The recovery period will depend on the treatment method used and the individual's overall health.

For those undergoing surgical clipping, initial recovery in the hospital can take 4 to 6 days. Full recovery may take several weeks to months. Endovascular treatment generally has a shorter recovery time, typically a few days to a week in the hospital, but the patient may need follow-up imaging tests to ensure the aneurysm is completely blocked off.

During recovery, patients may need to manage symptoms such as fatigue, trouble with concentration, or mood changes. Rehabilitation services, such as physical, occupational, and speech therapy, might be necessary depending on the extent of any brain damage from bleeding before treatment.

In conclusion, brain aneurysm treatment involves various complex decisions and procedures. Early detection and treatment can significantly improve the prognosis and enhance the quality of life for individuals affected by this condition.

Aska Question

icon
What are the common symptoms of a brain tumor?
icon

Common symptoms of a brain tumor can vary greatly and depend on the tumor's location, size, and growth rate. They may include headaches, seizures, changes in personality or behavior, memory problems, and difficulty with balance, speech, hearing, or vision. Learn more on this topic in our Brain Tumors section.

Learn More
icon
How is a brain aneurysm diagnosed?
icon

A brain aneurysm is typically diagnosed through imaging methods such as a CT scan, MRI, or cerebral angiography. A lumbar puncture is sometimes done if there is suspicion of an aneurysm rupture. You can read more about this in our dedicated Brain Aneurysms section.

Learn More
icon
What are the current treatment methods for pituitary adenoma?
icon

Treatment options for a pituitary adenoma include observation, medication, surgery, and radiation therapy. The best treatment option depends on the size and type of the tumor, the patient's overall health, and personal preferences. Learn more about Pituitary Adenoma treatment in the corresponding section.

Learn More
icon
What are the causes of disc herniation?
icon

Disc herniation can occur due to aging, physical stress, or injury. As we age, our discs lose some of their water content, increasing the likelihood of tearing or bulging with even slight strain or twist. Learn more about different types of disc herniation in our Spine Diseases section.

Learn More
icon
How is scoliosis treated?
icon

Scoliosis treatment depends on the degree of the curve and the patient's age. Non-surgical treatments include physical therapy, brace use, and pain relievers. In severe cases, surgery may be required to correct the curve. Learn more about scoliosis is treated in our Scoliosis Treatment section.

Learn More
icon
What is degenerative disc disease and what are its main symptoms?
icon

Degenerative disc disease is a condition of wear and tear on the intervertebral discs in the spine with age. Symptoms can include back or neck pain, numbness and tingling sensation, and difficulty in walking. Learn more in our Spine Diseases section.

Learn More
icon
What is thoracic outlet syndrome?
icon

Thoracic outlet syndrome is a condition where the space between the collarbone and the first rib narrows, compressing the nerves or blood vessels. This can lead to pain in the neck and shoulder and numbness in the fingers. Learn more about TOS in our Thoracic Outlet Syndrome section.

Learn More
icon
What are the causes of thoracic outlet syndrome?
icon

Risk factors for thoracic outlet syndrome include poor posture, obesity, repetitive arm or shoulder movements, and anatomical abnormalities such as an abnormal rib or a narrow space between the shoulder and rib. Learn more in our Thoracic Outlet Syndrome section.

Learn More
icon
How is thoracic outlet syndrome diagnosed and treated?
icon

The diagnosis of TOS is made in conjunction with the patient's history, symptoms, physical examination, imaging tests, and neurophysiological tests. Treatment can include physical therapy, pain management, and surgery in severe cases. Learn more about treatment options in our Thoracic Outlet Syndrome Treatment section.

Learn More
icon
What are the signs and symptoms of neurological disorder?
icon

Symptoms of neurological disorders can range widely but commonly include muscle weakness, uncoordinated movements, seizures, persistent or severe headaches, cognitive and memory problems, and changes in sensation. Learn more about neurological disorders in our Brain Diseases section.

Learn More
icon
Are there any warning signs of a brain aneurysm?
icon

Warning signs of a brain aneurysm can encompass sudden and severe headaches, blurred or double vision, neck pain, fainting or dizziness, and sensitivity to light. However, many aneurysms may not show symptoms until they leak or rupture. Learn more about this in our Brain Aneurysms section.

Learn More
icon
What size brain aneurysm requires surgery?
icon

The need for surgery typically depends on the size, location, and growth rate of the aneurysm. Generally, aneurysms larger than 7mm, those located at certain parts of the brain, or those showing signs of growth on consecutive scans may require surgical intervention. To understand the specifics, it's best to consult with a neurosurgeon. More on this topic in our Brain Aneurysms section.

Learn More
icon
Can brain AVM cause personality changes?
icon

Yes, a brain AVM can potentially lead to personality changes if it affects areas of the brain responsible for behavior, cognition, and emotion. Other symptoms might include headaches, seizures, or neurological deficits. Discover more about this disease in our Brain AVM section.

Learn More
icon
Can a blood test detect brain cancer?
icon

Currently, there's no standard blood test that can definitively diagnose brain cancer. While certain markers or changes may suggest a tumor's presence, imaging tests like MRI or CT scans remain primary diagnostic tools. Learn more about the diagnostic processes for brain cancer in our Brain Tumors section.

Learn More
icon
Can an x-ray show a brain tumor?
icon

X-rays are not typically used to detect brain tumors. MRI and CT scans are the primary imaging modalities for this purpose, offering more detailed views of the brain's structure. Explore the specifics of diagnosing brain tumors in our Brain Tumors section.

Learn More
icon
How long does it take for a brain tumor to grow and cause symptoms?
icon

The growth rate of brain tumors can vary based on the type and grade of the tumor. Some tumors grow slowly and might not cause symptoms for years, while others can grow rapidly and present symptoms within weeks or months. The onset of symptoms also depends on the tumor's location and size. Learn more about the progression of brain tumors in our Brain Cancer section.

Learn More
icon
What happens if Chiari malformation goes untreated?
icon

If Chiari malformation goes untreated, symptoms might worsen over time, leading to chronic pain, impaired coordination, and in severe cases, paralysis. Early intervention is recommended to prevent potential complications. Learn more about this in our Chiari Malformation section.

Learn More
icon
Does hemifacial spasm go away?
icon

Hemifacial spasms might diminish with certain treatments, but spontaneous remission is rare. Proper medical intervention can alleviate the symptoms and improve the quality of life. Learn more about the treatment options in our Hemifacial Spasm Treatment section.

Learn More
icon
What happens if hydrocephalus is left untreated?
icon

If left untreated, hydrocephalus can lead to increased intracranial pressure, causing cognitive impairments, vision problems, loss of coordination, and potentially life-threatening brain damage. Learn more about Hydrocephalus Treatment in our dedicated section.

Learn More
icon
What happens if a pituitary tumor goes untreated?
icon

An untreated pituitary tumor can grow and press against essential parts of the brain, disrupting hormonal balances and leading to a variety of health issues, from vision problems to metabolic disorders. Read more about this in our Pituitary Tumors section.

Learn More
icon
What can be mistaken for trigeminal neuralgia?
icon

Trigeminal neuralgia symptoms can be similar to other conditions like dental problems, sinusitis, cluster headaches, or temporomandibular joint disorders, making accurate diagnosis essential. Learn more about how to detect Trigeminal Neuralgia in our dedicated section.

Learn More
icon
What to expect after brain surgery?
icon

After brain surgery, patients might experience fatigue, mood fluctuations, or cognitive changes. Recovery time varies, and regular follow-ups are essential to monitor healing and detect any complications. Learn more about the recovery process for different disorders in our Brain Diseases Treatment section.

Learn More
icon
What happens to the spine as we age?
icon

As we age, the spine undergoes natural degenerative changes. Discs may lose hydration and elasticity, vertebral bones might thin, and there can be a gradual narrowing of the spinal canal, which might lead to spinal stenosis or other conditions. Learn more about spine disorders in our Spine Diseases section.

Learn More
icon
Can hardware be removed after spinal fusion?
icon

Yes, hardware from spinal fusion can be removed, but it's typically done only if it's causing discomfort, pain, or other complications. Discover more details about Spinal Fusion technique in the corresponding section.

Learn More
icon
How long does it take to fully recover from spinal fusion surgery?
icon

Full recovery from spinal fusion surgery can range from 3-6 months, although some activities may be limited for up to a year. Read more about the specifics of this procedure and the recovery process in our Spinal Fusion section.

Learn More
icon
What are the symptoms of a failed spinal fusion?
icon

Symptoms can include chronic pain, limited mobility, a sensation of hardware movement, or the same symptoms experienced before surgery. Learn more about Failed Back Surgery in the corresponding section.

Learn More
icon
What is the treatment for failed back surgery syndrome?
icon

Treatment can involve physical therapy, pain management, or, in some cases, revision surgery. You can read more about the options in our Failed Back Surgery Syndrome Treatment section.

Learn More
icon
What can I expect after a spinal fusion?
icon

Post spinal fusion, expect initial pain and limited mobility, followed by a gradual return to activities with physical therapy guidance. Long-term outcomes usually include pain relief and improved stability. Learn more about this procedure in our section dedicated to Spinal Fusion.

Learn More
icon
Can a herniated disc cause permanent nerve damage?
icon

Yes, if a herniated disc compresses a nerve for an extended period, it can lead to permanent nerve damage. You can learn more about the nature of the different types of herniated discs and the risks associated with them in our Spine Diseases section.

Learn More
icon
Can a bulging disc get worse?
icon

Yes, without proper care or due to continued strain, a bulging disc can worsen or even rupture and become a herniated disc. Read more about bulged and herniated discs and their associated risks in our Spine Diseases section.

Learn More
icon
How long does it take to recover from neck surgery?
icon

Recovery from neck surgery can vary based on the procedure, but typically ranges from a few weeks to several months. Learn about the specifics of recovery after spinal surgery in our Spine Surgery section.

Learn More
icon
Do compression fractures require surgery?
icon

Not all compression fractures require surgery. Many heal with conservative treatment, but severe cases might benefit from surgical intervention. Learn about the nature and diagnostic process of compression fractures in our Spinal Compression Fracture section.

Learn More
icon
How long does it take to recover from a fractured vertebrae?
icon

Recovery can range from a few weeks for minor fractures to several months for more severe cases. Discover more about the spine fracture recovery process in our dedicated Spinal Compression Fracture Treatment section.

Learn More
icon
How long does it take to recover from kyphoplasty?
icon

Most patients start feeling better within 48 hours of kyphoplasty, with full recovery in a few weeks.

Learn More
icon
How long does it take to recover from vertebroplasty?
icon

Recovery from vertebroplasty is typically quick, with most patients resuming normal activities within a few days.

Learn More
icon
What is the difference between vertebroplasty and kyphoplasty?
icon

Both procedures involve stabilizing fractured vertebrae, but kyphoplasty includes the inflation of a balloon to create space before cement is injected, whereas vertebroplasty injects cement directly without balloon inflation.

Learn More
icon
Who is not a candidate for kyphoplasty?
icon

Patients with certain types of fractures, severe osteoporosis, or those with an active infection might not be suitable candidates for kyphoplasty. Always consult with a spinal specialist.

Learn More
icon
What are the first symptoms of spinal cancer?
icon

The initial symptoms of spinal cancer might include localized pain, numbness or weakness in the limbs, difficulty walking, and loss of bladder or bowel control. Symptoms depend on the tumor's location and size. You can learn more about Spinal Tumors in our corresponding section.

Learn More
icon
Can scoliosis be corrected in adults?
icon

While scoliosis in adults can't always be fully corrected, treatments, including physical therapy, braces, or surgery, can reduce its severity and alleviate symptoms. You can learn more about the available treatment options in our Scoliosis Treatment section.

Learn More
icon
Does scoliosis worsen with age?
icon

Scoliosis can worsen over time, especially if it's left untreated. Adult scoliosis can progress due to degenerative changes in the spine. Learn more about the nature and risks associated with this disease in our dedicated Scoliosis section.

Learn More
icon
What organs are affected by scoliosis?
icon

Severe scoliosis can impact the lungs, leading to reduced lung function. The heart can also be affected as it may work harder due to reduced lung capacity. Learn more about how scoliosis affects the body in the corresponding Scoliosis section.

Learn More
icon
What are the 3 types of scoliosis?
icon

The three primary types of scoliosis are idiopathic (cause unknown, most common in adolescents), congenital (due to bone abnormalities present at birth), and neuromuscular (stemming from nerve or muscle disorders). Learn more about the differences between these types and the nature of this condition in the dedicated Scoliosis section.

Learn More
icon
What causes hunchback?
icon

Hunchback, or kyphosis, can be caused by poor posture, spinal trauma, congenital issues, osteoporosis, disc degeneration, or certain diseases like tuberculosis.

Learn More
icon
What causes tailbone pain without injury?
icon

Tailbone pain, or coccydynia, without evident injury can arise from prolonged sitting, childbirth, tumors, infections, or can sometimes have an idiopathic (unknown) origin.

Learn More
icon
What are the symptoms of thoracic outlet syndrome?
icon

Symptoms of TOS might include pain, numbness, or tingling in the neck, shoulder, arm, or fingers, arm weakness, and impaired circulation. Learn more about the symptoms and warning signs of TOS in our section on Thoracic Outlet Syndrome.

Learn More
icon
Can thoracic outlet syndrome come back after surgery?
icon

Yes, while surgery can alleviate TOS symptoms, there is a chance of recurrence, especially if underlying causes like posture or repetitive activities aren't addressed. Learn more about how to avoid this situation in our Recurrent Thoracic Outlet Syndrome section.

Learn More
CONTACT US hover img
CONTACT US hover img