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.

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See what others are saying

Comment from: candy, 35-44 Female (Caregiver) Published: May 21

My sister recently had her second aneurysm surgery, first one 20 years ago. This time the doctors were not successful in coiling, they did not tell us! She stayed in pain for an entire month, she went back to the doctor for two follow-ups, the first they did some radiology and did not see anything wrong. The second was with her general physician. She recently was rushed back to the hospital where the emergency room (ER) doctor informed her of the botched surgery because he thought she knew. He then says it's a two time surgical procedure, as if that is standard. It wasn't standard twenty years ago when it was fixed with 1 surgery. I believe they made that up to cover themselves, I am researching. I want to know how many other patients had 2 surgeries as standard for 1 aneurysm.

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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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