~~Aneurysm (vessel bubble) is an outward ballooning, or enlargement, usually of part of an artery wall. Generally, people live a normal life unaware of this balance and complete their lives. In a minority of the population, the wall of such a vascular bubble can suddenly perforate and bleed. As a result of this puncture, brain hemorrhage (subarachnoid hemorrhage and/or intracerebral hematoma) disease occurs. This bleeding can cause stroke, coma and/or death. The name of the disease is subarachnoid hemorrhage, the most known of which is aneurysms.
It is 2 times more common in women with a family history. Smoking and hypertension are other risk factors.
The most common findings are severe headache, neck pain, nausea, vomiting, sensitivity to light, double knitting, confusion, seizures, and coma.
Diagnosis is made by CT, CT angiography, MR angiography, arterial angiography after the examination. Rarely, bleeding is detected by lumbar puncture (by taking water from the waist).
The greatest risk of aneurysms is rebleeding. The neck of the aneurysm is clipped to prevent rebleeding. The purpose of this method is to support the weakened vessel wall and prevent rebleeding by placing a clip on the neck of the aneurysm sac. Successful clipping does not cure subarachnoid hemorrhage completely! The risk of re-bleeding, which is a great risk, is eliminated and an opportunity for more comfortable applications is created after the treatment. After subarachnoid hemorrhage, blood spreading between the meninges and around the cerebral vessels may cause constriction of the cerebral vessels (vasospasm) and/or blockage in the cerebral waterways, leading to hydrocephalus. In such cases, different treatment methods are used to open the vessels and/or reduce the increase in brain pressure caused by the obstruction in the waterways. However, if the brain is very swollen and edematous, the surgeon saves the bone piece for later placement (in the freezer, in the abdomen, under the scalp…) instead of reinserting it.
IS A VERY SERIOUS DISEASE. 70 of 100 patients with aneurysm bleeding can reach the hospital. 25 OF THESE PATIENTS ARE RETURNING TO THEIR OLD WORK AND LIVES, DESPITE ALL KIND OF TREATMENT.
Alternative Therapies:
• Refusing treatment by accepting the risk of bleeding and other complications that may occur.
• Medical drug therapy and periodic radiological examinations.
• Interventional endovascular treatment.
