Cerebral aneurysm treatments depend on a variety of factors: whether the aneurysm, a bulge in the wall of the artery, is pre-rupture or after an event, your health and age, how small or large the aneurysm is, and whether it is causing neurological symptoms among other risk factors.
Aneurysm Clipping – In this brain aneurysm treatment, a neurosurgeon places a small surgical clip around the base of an intracranial aneurysm, blocking off the flow of blood to the aneurysm and limiting the likelihood of it bursting. Surgical clipping is a long-established medical procedure for treating both ruptured and pre-ruptured aneurysms.
The most distinctive symptom of a ruptured aneurysm that is causing subarachnoid hemorrhaging—bleeding in the space under a protective covering of the brain called the arachnoid membrane—is an acute and severe headache (worst headache ever). Other symptoms can include nausea and vomiting, pain in the neck, and blurred vision.
Aneurysms and subarachnoid hemorrhages are diagnosed with advanced imaging techniques such as magnetic resonance imaging (MRI), computed tomography (CT) scans and angiography.
Unruptured and smaller aneurysms are often discovered during routine exams and may be asymptomatic.
The brain specialists at NSPC are skilled in aneurysm treatments. In general, brain aneurysm treatments break down into one of three methods:
Observation – The risk of smaller aneurysms rupturing is generally lower and your physician may advise long-term observation and careful monitoring.
The goal of surgical aneurysm treatments is to halt bleeding —if a subarachnoid hemorrhage has occurred— and isolate the aneurysm from the blood flow and protect neurological functioning.
Coil Embolization – Considered a less invasive procedure than surgical clipping, coil embolization is an endovascular procedure to insert a thin, flexible coil at the aneurysm site to block the flow of blood to the aneurysm. Instead of open brain surgery, a slender catheter travels through the groin artery to the aneurysm and deposits the coil into the aneurysm.
Surgical Clipping – During this surgical procedure, a tiny clip is attached to the base of the aneurysm to prevent blood flow— thereby decreasing the likelihood of it bursting or rupturing if it’s pre-rupture or to treat a ruptured aneurysm. To reach the aneurysm, the neurosurgeon performs a small craniotomy, which temporarily removes a portion of the skull, and an incision in the brain covering called the dura mater allows the surgeon to carefully retract the brain and trace the affected artery to the aneurysm. Once there, the clip is placed on the neck of the aneurysm.
If you or a loved one have a brain aneurysm, discuss your options with experienced physicians specializing in cerebral aneurysms. Our outstanding brain aneurysm specialists are a first choice for many NY doctor who refer patients for aneurysm surgery. NSPC’s Dr. Jonathan Brisman is a premier endovascular surgeon in the New York area and was the first neurosurgeon on Long Island to coil a cerebral aneurysm.
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