Surgery For The Treatment Of Ruptured Brain Aneurysm

The 2 common treatment procedures for a ruptured aneurysm are:

•Surgical clipping: this procedure shuts off the brain aneurysm. The surgeon will excise a portion of the skull to gain access to the aneurysm and locate the artery which supplies it. He will then place a small metallic clip on the narrow part of the aneurysm to impede the flow of blood to it.

• Endovascular coiling: this is an invasive technique. The surgeon will introduce a catheter into the groin artery, and will thread it through the body to the brain aneurysm. He will use a ‘steer’ wire to drive a platinum wire through the catheter and into the aneurysm.

The platinum wire will coil within the aneurysm, will interrupt the flow of blood and cause the blood to form clots. Clotting closes up the aneurysm away from the blood vessel.

These surgical procedures are fraught with certain risks, especially, bleeding within the brain or impeded flow of blood to the brain. The surgeon will make recommendations based up on the size of the aneurysm, your capacity to endure the surgery and various other factors.

Additional Therapies for Ruptured Brain Aneurysm:

•Pain relievers: may be prescribed to manage headache.

•Calcium channel blockers: they put a stop to the calcium that enters the cells of the walls of the blood vessel. They reduce vaso-spasm, which could become a huge obstacle of a ruptured aneurysm.

•Vaso-pressors: help prevent stroke which may occur because of inadequate flow of blood.

•Angioplasty: also helps prevent stroke. The surgeon makes use of a catheter to blow up a small balloon which enlarges a constricted blood vessel. The catheter will also help convey a vaso-dilator drug to the brain which causes the blood vessel to inflate.

•Anti-seizure drugs: may be prescribed to manage seizures and convulsions connected to the ruptured brain aneurysm.

•CSF draining and shunt surgery: decreases the pressure on the brain which may be a result of surplus cerebrospinal fluid occurring due to a ruptured aneurysm. The catheter is introduced in to the area that is filled with fluid, within the brain or surrounding the brain and the spinal cord, to draw off surplus fluid. Occasionally, the doctor may set up a shunt system comprising of a valve and a silicone rubber tube which makes a channel that begins in the brain and ends in the abdominal cavity.

•Rehabilitation: brain damage due to sub-arachnoid hemorrhage results in the requirement for speech therapy, physical therapy, and occupational therapy.

Treatment of Un-Ruptured Brain Aneurysms

Clipping or coiling seals off an un-ruptured brain aneurysm and averts a rupture in the future. The surgeon will help you decide if the treatment is suitable for you. Issues to be considered whilst making the choice are:

• Location and dimension of the brain aneurysm

• General health

• Age

• Congenital conditions that raise the peril of ruptured aneurysm

• Family history

Preventing the Rupture of a Brain Aneurysm

•Do not smoke or use drugs.

•Eat a healthy diet and exercise regularly. Dietary modifications and life style changes decrease blood pressure.

•Restrict your intake of caffeine. Caffeine is a stimulant which causes an increase in the blood pressure.

•Avoid straining. Sustained and forceful exertion can trigger a sudden increase in the blood pressure.

•Be wary of taking aspirin. Confer with your physician before taking aspirin or other drugs that hamper clotting of blood; given that, they may increase blood loss if you do have a ruptured aneurysm.

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