neurology

What Is Brain Aneurysm Surgery & When Can It Be Performed?

A brain aneurysm refers to a ballooning or bulging blood vessel in the brain. The aneurysm resembles berries hanging on the stem. An aneurysm might rupture or leak, leading to bleeding in the brain known as hemorrhagic stroke. Frequently, ruptured brain aneurysms take place in the space between the thin tissues that cover the brain and the brain. A subarachnoid hemorrhage is the other term for hemorrhagic stroke.

Ruptured aneurysms can turn life-threatening and need timely medical intervention. Surgery is the most common and effective treatment method used by surgeons at neurosurgery hospitals in Mumbai or elsewhere in India. Here are more details about the surgery.

Surgical treatment for ruptured brain aneurysms

Surgery is necessary when an aneurysm leaks or ruptures, creating a life-threatening situation. Two common options for surgical treatment used for ruptured brain aneurysms are:

Surgical clipping is the process of closing off the aneurysms. The neurosurgeons remove a part of the skull for accessing the aneurysm and locating the blood vessels that feed it. The neurosurgeon then puts a small metal clip over the neck of that aneurysm to stem the flow of blood into it.

Another method is endovascular treatment, which is less invasive than surgical clipping. A surgeon puts a catheter in the artery, typically in the groin or wrist, before threading it through the body to the aneurysm. Then, the surgeon uses a device called a flow diverter or a combination of different devices for destroying the aneurysms from the insides of the blood vessel.

There are potential risks involved in both procedures, especially bleeding in the brain or a loss of blood in the brain. The endovascular coils are less invasive and might be safer initially, though they might have a bit of a higher risk of requiring a repeat procedure in the future because of the aneurysm opening again.

Flow diverters

A new treatment for a brain aneurysm is a flow diverter. It is a tubular and stent-like implant that helps to divert the blood flow from the aneurysm sac. This diversion stops the blood movement in the aneurysm and makes the body naturally heal that site, which encourages reconstructing the parent artery. A neurosurgery hospital in Mumbai might resort to flow diverters in case of large aneurysms that are not possible to be treated safely using other options.

An interventional neuroradiologist or neurosurgeon, along with the neurologist, will have recommendations depending on the location, size, and overall appearance of the brain aneurysm, the general health of the patient, and other important factors.

The bottom line

Certain congenital disorders and a family history of brain aneurysms increase your risk of getting one. Doctors might recommend certain imaging tests for screening the unruptured brain aneurysms in case they consider you to be at high risk for the condition. Aneurysms can be surgically removed to put you on the path to wellness, but the treatment has to start on time.

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