Throughout our entire lives, we will definitely experience a headache one way or another. There are nearly three hundred causes of headache. Especially common among the causes of headache; tension-type and migraine-type headaches. In addition, sinusitis, which is the inflammation of the air-filled spaces in the skull, is one of the common causes of headache. Again, arterial pressure changes, that is, high or low blood pressure, can be the cause of headache, as well as changes in blood sugar can show clinical symptoms in the same way.
The subject that I would like to dwell on; Even patients who develop suddenly and severely and involve the back of the neck; Brain hemorrhages may lie under the headaches he describes as “I have never encountered such a pain in my life”, “My brain and my head felt like it was going to break off”, “It was like a very severe knife stabbing pain up my neck”, “It was like a lightning bolt”. Brain hemorrhage can be in the form of blood leaking into the brain membrane, or it can be directly into the brain tissue.
Aneurysms, also known as bubbles (otherwise known as Ebru Gündeş Disease), are; They are abnormal enlargements that develop from weak places in the veins (arteries) carrying clean blood and usually occur at the points where the vein splits into smaller branches.
As soon as the weak bubble wall cannot withstand the pressure, it ruptures and blood leaks out of the vessel. This event occurs either spontaneously (due to high blood pressure) or with effort (such as coughing, sneezing, straining, sexual contact). With the spread of blood into the cerebral cortex, the severe headache we mentioned above occurs.
In the first stage of diagnosis, tomography and sometimes MRI are used to confirm the disease history and examination. In cases whose examinations are normal but the clinic does not satisfy us, examination of the cerebrospinal fluid taken from the waist is also an important diagnostic method. In the second stage, if the patient’s clinic is appropriate, “cerebral angiography”, that is, the imaging of the brain vessels, which allows us to see the bleeding vessel and the size of the bubble, is performed immediately. Thus, it is understood whether the bubble meets the surgical criteria (such as having a wide neck, giant size, or poorly located). If the patient cannot be operated on, then an interventional radiologist can enter the bubble in the brain with the help of a catheter placed through the vein in the inguinal region, and it can be removed by filling it with special materials (coil).
Op.Dr.Candan HUNDEMİR
Neurospinal Cord and Nerve Surgeon Specialist
