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Neuro and Spine Surgeries

Intracranial Aneurysm surgery

What is a Brain Aneurysm?

A brain aneurysm is also attributing to as intracranial aneurysm or analytical aneurysm. The weak and exceptional spot on a blood vessel that results in an apparent ballooning or bulging of the arterial wall is indicate to as brain or cerebral aneurysm. This aneurysm can discover a sac from one wall can combine all the walls of the blood vessel or can even dissect all the vessel walls. Any vessel in the body can get distressed by an aneurysm but continuation of aneurysm in the head can result in serious medical situation. An aneurysm in the head ruptures resulting in a hemorrhagic stroke that cans element brain casualty and even death. These aneurysms are generally found in the subarachnoid area and accounts for about 90% of the subarachnoid hemorrhages.

An aneurysm varies in size from 1/8 inch to approximately 1 inch. Aneurysms which are bigger than 1 inch are known as giant aneurysm and are very hard to treat.

The rarest form of aneurysm is Mycotic aneurysms that are caused by an infection. This infection can weaken and damage the blood vessel and also increase the chances of rupture. Subacute bacterial endocarditis is responsible for causing this infection. When a cerebral blood vessel acquires trauma from a head injury then traumatic aneurysms can occur.

Berry or saccular aneurysms are considered as the most common type and are in the shape of a small sac.

The diffused swelling of the vessel is known as Fusiform that includes the complete circumference of the blood vessel. When the surrounding brain is compressed by the Fusiform then it results in stroke-like symptoms.

What are the symptoms of Brain Aneurysm

The condition of brain aneurysm does not result in any symptoms and are normally exposed at the time of some other tests for an inappropriate situation. An unruptured aneurysm presses on the different areas of the brain that can result in many headaches. During this time a person deteriorate from darken eyesight, neck pain, severe headaches and changes in speech. Usually the symptoms of a ruptured brain aneurysm occur suddenly. Other symptoms include –


Neck pain

Loss of consciousness or fainting

Unexpected severe headaches which are unlike past headaches

Sensitivity to light

Vomiting and nausea

Causes of Brain Aneurysm?

An aneurysm can appear due to the hardening of the avenue and aging. A respective may also inherit the weakness of advancing aneurysms. The risk factors combine with brain aneurysms can be controlled while the other risk factors cannot be controlled. Here are some risk factors that boost the chances of forming an aneurysm and if a person previously advanced aneurysm then there are chances of rupture –

Previous Aneurysm: There are chances of developing another aneurysm when a person already had a brain aneurysm.

Hypertension: There are more chances of subarachnoid hemorrhage in those who have a history of hypertension.

Family History: A family history of brain aneurysm can increase the chances of developing an aneurysm as compared to those who don’t.

Smoking: Smoking is also one the cause of developing a brain aneurysm where an aneurysm may also rupture.

Gender: As compared to men, women suffer more from subarachnoid hemorrhage.

Diagnosis of Brain Aneurysm

A number of tests are performed for diagnosing the condition of brain aneurysm that include –

Magnetic Resonance Angiography (MRA): Just like CTA, pulses of radio wave energy and magnetic field is used in MRA. This provide for pictures of blood vessels within the body. A dye is used while performing MRA in order to view blood vessels properly.

Computed Tomography (CT) Scan: This test can help in examining the bleeding in the brain. Lumbar puncture can be used if a person is diagnosed with ruptured cerebral aneurysm along with a subarachnoid hemorrhage.

Cerebral Angiogram: In this X-ray test, there is an insertion of a catheter from a blood vessel in the arm. It is then moved up from the vessel within the brain. Then into the cerebral artery, a dye is injected. This test is ideal for locating small brain aneurysms.

Computed Tomography Angiogram (CTA) Scan: As compared to standard CT scan, CTA is considered as the best method for examining blood vessels. CTA involves special computer techniques, CT scanning and contrast material which is inserted into the blood for producing pictures of the blood vessels.

Who can get affected by Brain Aneurysm?

An aneurysm can advance at any age. It is not naturally present at the time of birth. Consistently aneurysms develop after birth and in a few cases; they are present for few weeks or months before rupturing. It has been seen that many aneurysm remains balanced for a number of years and it is not imperative that all aneurysm will rupture. Both men and women can establish aneurysm. In between the age of 40-70, rupturing is more common. However, rupturing can occur at any age.

Treatment of Brain Aneurysm

The analysis depends upon several factors that help in determining the treatment type. Factors such as size of the aneurysm, overall health of the patient, age of the patient and increased risk factors, determines the convenient treatment. There is a less risk of rupturing of an aneurysm which is less than 10 mm and the surgery for brain aneurysm is commonly hazardous. So for this reason, proper consider of the patient’s situation is done before operating any kind of surgery. Surgery is approved when an aneurysm is either resulting in pain or generate other symptoms.

Here are two surgeries that are performed for treating unruptured and ruptured brain aneurysms.

Surgical Clipping: During the surgical proceeding, a small metal clip is placed at the base of aneurysm in order to isolated it from usual blood circulation. This helps in preventing rupturing and also lowers down the strength on the aneurysm. This surgery depends upon the size and area of the aneurysm and also on the comprehensive health of a patient.

Coil Embolization: In this proceeding, a doctor inserts a small tube into the concerned artery and is placed around the aneurysm. From the tube into the aneurysm, small metal coils are moved. This is done for alleviate the strength on the aneurysm while also making it less likely to fracture. This surgical access is considered more capable than surgical clipping.

Cost of Intracranial Aneurysm Surgery

The progress rate of brain aneurysm surgery in India is very high as the surgery is implementing by professional specialist. India is known for its low-cost brain aneurysm surgery that does not influence the character standard of the treatment.

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