Brain Aneurysm - Treatment

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What is the treatment for brain aneurysm?

Treatment for a symptomatic aneurysm is to repair the blood vessels. Clipping and coiling are two treatment options.

  • Clipping: A neurosurgeon can operate on the brain by cutting open the skull, identifying the damaged blood vessel and putting a clip across the aneurysm. This prevents blood from entering the aneurysm and causing further growth or blood leakage.
  • Coiling: An interventional neurologist, neurosurgeon, or interventional radiologist can thread a tube through the arteries, as with an angiogram, identify the aneurysm, and fill it with coils of platinum wire or with latex. This prevents further blood from entering the aneurysm and resolves the problem.

Both these options have the risk of damaging the blood vessel and causing more bleeding, damaging nearby brain tissue, and causing the surrounding blood vessels to go into spasm; depriving brain tissue of blood supply and causing a stroke.

Prior, during, and after surgery, attention is paid to protect the brain and its blood vessels from potential further damage. Vitals signs are monitored frequently, and heart monitors are used to watch for abnormal heart rhythms. Medications may be used to control high blood pressure and prevent blood vessel spasm, seizure, agitation, and pain.

Return to Aneurysm (Brain)

See what others are saying

Comment from: lucy, 55-64 Male (Caregiver) Published: February 17

My husband had brain surgery 7 weeks ago for brain aneurysm, and last week his head had a swollen forehead. We went to surgeon and he said it was air between the skin and frontal bone and back to surgery he went. They took a piece of the forehead out, to be replaced or a prosthetic put in, in a few weeks. They have no explanation why the air was there and 3 days later the air was back. They drain with syringe and put a tight wrap to keep it from reoccurring. We are pretty down in the dumps. At 4 to 6 weeks we have to go back and have plate but back in his head.

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Comment from: Ashley, 19-24 Male (Caregiver) Published: June 28

My little brother, 19, recently had a brain aneurysm. Luckily, he was able to get to the emergency room and had immediate brain surgery. They coiled his aneurysm and he spent 14 days in a neurosurgical ICU. He just came home on Thursday and he'll be taking about a month to recover. He is extremely lucky because there were a lot of factors that led to his aneurysm being caught early.

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