Aneurysms, which can appear suddenly without any symptoms, can be seen in people of all ages. In aneurysms, which can cause nausea, vomiting, paralysis, vision, speech and balance disorders along with severe headaches during the day, it is of great importance to diagnose and treat the bubbles before they bleed, with the right intervention in a timely manner. Hisar Intercontinental Hospital Brain and Nerve Surgery Department Specialist Prof. Dr. He gave information about the diagnosis and treatment methods of aneurysms occurring in the brain with Kadir Tahta.
The first symptom is a severe headache!
Although aneurysms, which may occur as a result of the bursting of congenital bubbles in the vessels at the base of the brain, are very rare, they occur after exertion in people's most productive ages. It is a situation that arises. In fact, aneurysm is a congenital anomaly. They are hemorrhages in the space around the brain due to the rupture of intracranial extracerebral vessels. The first sign of an aneurysm, which can cause symptoms and bleeding in 5 out of 100 thousand people, is severe headache.
Be aware of the symptoms
One of the most dangerous consequences of aneurysms is that it can lead to brain hemorrhage. Since it is an arterial rupture, it causes very high pressure to suddenly build up inside the head. While the increase in intracranial pressure causes a very severe headache in the person, loss of consciousness may also occur. It may cause neck pain, nausea, vomiting, visual disturbances and balance disturbances, and even loss of consciousness. This condition is most often seen at the junction of the vessels going to both frontal brains. When the bubble reaches 7 mm in diameter, it has entered the critical bleeding threshold. If the person also has high blood pressure or diabetes along with these symptoms, a doctor should be consulted and the necessary triggers should be done. By eliminating risk factors through regular check-ups, brain hemorrhages that may be caused by the disease can be largely prevented.
It is not correct to say that every headache is an aneurysm!
Today, aneurysms can be easily diagnosed with advanced technological devices. The disease can be easily diagnosed with computerized tomography, magnetic resonance (MRI) and digital angiography. Do not perform any intervention on the body such as angiography with advanced diagnostic methods. Aneurysms that have not caused bleeding can also be easily detected. It is very important to make the diagnosis early after the aneurysm shows symptoms. Just as not every headache is caused by aneurysm, headaches that occur as a result of aneurysm should not be relieved with painkillers. Especially people who have aneurysm bleeding should not be allowed to walk or move. Recurrent bleeding within the first 24 hours can carry a high degree of life risk.
The first 4 days after surgery are quite critical!
There are two ways to treat aneurysms. The patient, who is placed on 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 is closed with surgical intervention as soon as possible. The better the patient's condition is after the first bleeding, the better the response to surgery will be. The first 4 days after surgery are critical days. The most feared complication of brain hemorrhage caused by aneurysm is the occurrence of a second brain hemorrhage. Satisfactory results can also be obtained with physical and psychic rehabilitation.
Treatment of aneurysm is determined according to the condition of the person.
From the moment a bleeding aneurysm is detected in the patient, a number of treatment techniques are applied without delay, depending on the location and size of the aneurysm. Any bleeding detected must be treated with surgery or endovascular methods as soon as possible. The risk of bleeding is greatly reduced in patients who undergo surgery.
Surgical treatment: It is the most used and definitive method for detected aneurysms. It is the interruption of blood flow to the aneurysm with an aneurysm clip placed in the neck area where the aneurysm exits the vessel.
Endovascular (intravascular) treatment: It is the process of closing the flow within the aneurysm with adhesive material or a metal spiral that reaches into the aneurysm through the vessel and fills it.
Aneurysm in its family. People with this disease must have regular examinations. Since it is a very low percentage formation, it is impossible for every person to undergo angiography with computed tomography. However, it may be recommended that people in risk groups undergo special screening. People with a family history of aneurysms are slightly more prone to cancer than normal. Aneurysm can be detected quickly. After the treatment of aneurysm bleeding, which can suddenly have a serious impact on people's lives in their most fertile age, the person completes his normal life span unless he has vascular disease.
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