Cerebral hemorrhages caused by aneurysms of the vascular elements of the brain are the manifestations we encounter in emergency settings. Although aneurysms are very rare, they are a condition that occurs after exertion in the most productive ages of people. In fact, aneurysm is a congenital anomaly. It is bleeding into the space around the brain by rupture of intracranial extra-cranial vessels. Because it is an arterial rupture, it causes very high pressure to build up in the head. The increase in intracranial pressure to almost the level of a person’s blood pressure is the cause of the most severe headache in a person’s life. Loss of consciousness of the person may also be seen. There is also neck pain, nausea and vomiting. It is most commonly seen at the junction of the vessels going to both forebrain. When the bubble reaches 7 mm in diameter, it has entered the critical bleeding threshold.
What is the reason?
It is caused by the bursting of congenital bubbles in the veins at the base of the brain.
Who gets it?
Developed in childhood. 2% of all people have an aneurysm. Bleeding aneurysms are 10% of these.
It is important to diagnose aneurysms after they are symptomatic. Not all headaches are caused by aneurysms, and headaches that occur as a result of aneurysm should not be relieved with painkillers. In particular, people who have had aneurysm bleeding should not be allowed to walk or move
. It is urgent because it will bleed again in 7-8 days. If bleeding occurs within the first twenty-four hours, it is very life-threatening. Definitive diagnosis is made by computed tomography and angiography taken when people apply to the emergency department. Aneurysms larger than 3 mm are immediately detected. There are two ways to treat it. The patient, who is taken to absolute rest in the intensive care unit, is evaluated by the neurosurgery department and the treatment of the disease is decided. The neck of the bubble should be closed by surgical intervention as soon as possible. Mortality has been reduced to 4% with microsurgery. The better the patient’s condition after the first bleeding, the better the response to be obtained as a result of surgery. The first four days after surgery are critical days. Afterwards, satisfactory results are obtained with physical and psychic rehabilitation. The risk of bleeding in patients undergoing surgery is eliminated. Problem solving becomes easier with adequate equipment and an experienced and effective team. One of the most important problems that confuse people is do I have an aneurysm? Because it is a very low percentage of occurrence, it is impossible to undergo angiography with computed tomography for each person. However, it may be recommended that risk groups be screened. A little more aneurysm can be detected in those with a family history of aneurysm. As a result, people complete their normal life span if there is no vascular disease after the treatment of aneurysm bleeding, which causes a serious impact on people’s lives in their most productive age.
