MBBS, DrNB Neurosurgery Consultant Neurosurgeon, Manipal Hospital Broadway & Saltlake
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Dr. Arijit Chakraborty

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How Brain Aneurysms Are Treated

16 April 2025

What are the Risk Factors Associated with Brain Aneurysms?

Furthermore, according to the brain neurosurgeon, genetic factors and family history can also influence aneurysm development. If a close relative has had an aneurysm, your risk may be higher. Some individuals are also born with a congenital weakness in their arterial walls. Additionally, aneurysms are more common in people over 40, and women have a slightly higher risk than men.

For larger or high-risk aneurysms, surgical interventions may be necessary. One option is clipping, a procedure in which a small metal clip is placed at the base of the aneurysm to stop blood flow and prevent rupture. Another minimally invasive option is endovascular coiling, where a catheter is inserted into an artery, and tiny coils are placed inside the aneurysm to block blood flow. Flow diverters, a newer treatment, involve placing a stent in the affected artery to redirect blood flow away from the aneurysm and promote healing.

FAQs

  1. Can a brain aneurysm be detected before it ruptures?
    • Yes, many brain aneurysms are detected incidentally during imaging tests for other conditions. If there is a family history or risk factors, doctors may recommend CT scans, MRI scans, or cerebral angiography to diagnose an aneurysm before it ruptures.
  2. What are the warning signs of a brain aneurysm?
    • Unruptured aneurysms may cause persistent headaches, blurred vision, pain behind the eyes, or facial numbness. A ruptured aneurysm presents with a sudden, severe headache (“thunderclap headache”), nausea, vomiting, stiff neck, seizures, and loss of consciousness.
  3. What is the safest treatment for a brain aneurysm?
    • The safest treatment depends on the size, location, and risk of rupture. Options include:
      1. Clipping (a surgical procedure to close the aneurysm).
      2. Endovascular coiling (a minimally invasive method using coils to block blood flow).
      3. Flow diverters (stents placed to redirect blood flow).
        For small, low-risk aneurysms, regular monitoring and lifestyle changes may be recommended.
  4. How long is the recovery after brain aneurysm surgery?
    • Recovery time varies based on the treatment type and whether the aneurysm ruptured.
    • Endovascular coiling: This requires a Shorter recovery (a few days to a few weeks).
    • Clipping surgery: Longer recovery (several weeks to months).
      If the aneurysm ruptures, rehabilitation may be needed for neurological recovery.
  5. How can I reduce my risk of developing a brain aneurysm?
    • You can reduce your risk by:
      • Maintaining healthy blood pressure
      • Quitting smoking and avoiding alcohol abuse
      • Eating a balanced diet and exercising regularly
      • Managing stress and chronic conditions like diabetes
      • Undergo screening if you have a family history of aneurysms
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