Aneurysms and Hemorrhages
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Heidi's Story - Neurosurgery at Parker Adventist Hospital
A cerebral aneurysm is a weak or thin spot on a blood vessel that balloons out and fills with blood. The bulging aneurysm can put pressure on a nerve or surrounding brain tissue. It may also leak or rupture, spilling blood into the surrounding tissue (hemorrhage). Some cerebral aneurysms, particularly those that are very small, do not bleed or cause problems. These aneurysms can occur anywhere in the brain but are more commonly found with the larger vessels in the brain.
- 10 in every 100,000 people
- Commonly between the ages of 20 and 60
- Alcohol abuse
- Drug abuse (particularly cocaine)
- Severe traumatic head injury
- Family history
- MRI (magnetic resonance imaging)
- CT Scan (computed tomography)
- Cerebral Angiogram
- CTA (computed tomography angiography)
- Microvascular clipping - Involves cutting off the flow of blood to the aneurysms. The neurosurgeon uses a state of the art microscope to isolate the blood vessel that feeds the aneurysm and places a small, metal, clip on the aneurysm neck. The clip remains in the person and prevents the risk of future bleeding.
- Endovascular embolization - A neuro interventional radiologist inserts a catheter into an artery and feeds it up into the brain to the area of the aneurysm. He then places special coils to fill the aneurysm and block it from the circulation. This causes the blood to clot which destroys the aneurysm.
The best approach to treatment depends on the type of aneurysm and the location. For some, clipping of the aneurysm is the best approach, for others, endovascular embolization is the preferred choice.
At Parker Adventist Hospital, we can help individuals determine the best approach through our imaging and technologies. In our state of the art neuroscience operating room, we can safely perform microvascular clipping. Should an individual need embolization for the aneurysms, our sister hospital is equipped to perform that procedure under the guidance of our neurosurgeon.