Aneurysm, Brain Health (cont.)

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Brain Aneurysm Follow-up

Most individuals who have undergone a procedure to repair a brain aneurysm remain in the hospital for a few days so that their neurologic findings and vital signs, including blood pressure, can be monitored.

Depending upon the person's needs, physical therapy, occupational therapy, and speech therapy may be required. Some individuals have no residual issues after the aneurysm repair while others can have significant loss of function similar to a stroke.

Outpatient follow-up usually involves routine visits with the health-care professional and neurologist/neurosurgeon.

Complications of a ruptured brain aneurysm and subarachnoid hemorrhage include recurrent bleeding, spasms of blood vessels in the brain (cerebrovasospasm), and seizures.

Brain Aneurysm Prevention

Catastrophic bleeding from a brain aneurysm can be prevented if the initial sentinel bleed is recognized and treatment is administered before the large bleed occurs. Significant headaches should not be ignored and one should seek medical care immediately.

Individuals who have relatives with subarachnoid bleed or aneurysms should discuss the possibility of noninvasive screening with their family physician. A CT and MRI angiography of the brain are potentially useful non-invasive screening tests that can be done without having to thread catheters into the arteries of the neck. As technology advances, this type of imaging may one day replace standard angiography.

As with all blood vessel related illness, including heart disease, stroke, and peripheral artery disease, it is important to minimize risks of blood vessel damage by lifelong control of high blood pressure.

REFERENCES:

American Heart Association/American Stroke Association. "Guidelines for the Management of Aneurysmal Subarachnoid Hemorrhage." Stroke 2012; 43:1711.

Medscape. Neurosurgery for Cerebral Aneurysm.

Tintinalli, Judith E. et al. "Tintinalli's Emergency Medicine: A Comprehensive Study Guide". 7th ed. McGraw-Hill Professional, 2010.


Medically Reviewed by a Doctor on 8/27/2014

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