Learn About Brain Aneurysm

What is the definition of Brain Aneurysm?

An aneurysm is a weak area in the wall of a blood vessel that causes the blood vessel to bulge or balloon out. When an aneurysm occurs in a blood vessel of the brain, it is called a cerebral, or intracranial, aneurysm.

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What are the alternative names for Brain Aneurysm?

Aneurysm - cerebral; Cerebral aneurysm; Aneurysm - intracranial

What are the causes of Brain Aneurysm?

Aneurysms in the brain occur when there is a weakened area in the wall of a blood vessel. An aneurysm may be present from birth (congenital). Or, it may develop later in life.

There are many types of brain aneurysms. The most common type is called a berry aneurysm. This type can vary in size from a few millimeters to over a centimeter. Giant berry aneurysms can be bigger than 2.5 centimeters. These are more common in adults. Berry aneurysms, especially when there is more than one, are sometimes passed down through families.

Other types of cerebral aneurysms involve widening of an entire blood vessel. Or, they may appear as a ballooning out of part of a blood vessel. Such aneurysms can occur in any blood vessel that supplies the brain. Hardening of arteries (atherosclerosis), trauma, and infection can all injure the blood vessel wall and cause cerebral aneurysms.

Brain aneurysms are common. One in fifty people has a brain aneurysm, but only a small number of these aneurysms cause symptoms or rupture.

Risk factors include:

  • Family history of cerebral aneurysms
  • Medical problems such as polycystic kidney disease, coarctation of the aorta, and endocarditis
  • High blood pressure, smoking, alcohol, and illegal drug use
What are the symptoms of Brain Aneurysm?

A person may have an aneurysm without having any symptoms. This kind of aneurysm may be found when an MRI or CT scan of the brain is done for another reason.

A brain aneurysm may begin to leak a small amount of blood. This may cause a severe headache that a person may describe as "the worst headache of my life." It may be called a thunderclap or sentinel headache. This means the headache could be a warning sign of a future rupture that may occur days to weeks after the headache first started.

Symptoms may also occur if the aneurysm pushes on nearby structures in the brain or breaks open (ruptures) and causes bleeding into the brain.

Symptoms depend on the location of the aneurysm, whether it breaks open, and what part of the brain it is pushing on. Symptoms may include:

  • Double vision
  • Loss of vision
  • Headaches
  • Eye pain
  • Neck pain
  • Stiff neck
  • Ringing in the ears

A sudden, severe headache is one symptom of an aneurysm that has ruptured. Other symptoms of an aneurysm rupture may include:

  • Confusion, no energy, sleepiness, stupor, or coma
  • Eyelid drooping
  • Headaches with nausea or vomiting
  • Muscle weakness or difficulty moving any part of the body
  • Numbness or decreased sensation in any part of the body
  • Problems speaking
  • Seizures
  • Stiff neck (occasionally)
  • Vision changes (double vision, loss of vision)
  • Loss of consciousness

NOTE: A ruptured aneurysm is a medical emergency. Call 911 or your local emergency number.

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What are the current treatments for Brain Aneurysm?

Two common methods are used to repair an aneurysm.

  • Clipping is done during open brain surgery (craniotomy).
  • Endovascular repair is most often done. It usually involves a coil or coiling and stenting. This is a less invasive and most common way to treat aneurysms.

Not all aneurysms need to be treated right away. Those that are very small (less than 3 mm) are less likely to break open.

Your health care provider will help you decide whether or not it is safer to have surgery to block off the aneurysm before it can break open. Sometimes people are too ill to have surgery, or it may be too dangerous to treat the aneurysm because of its location.

A ruptured aneurysm is an emergency that needs to be treated right away. Treatment may involve:

  • Being admitted to the hospital's intensive care unit (ICU)
  • Complete bed rest and activity restrictions
  • Drainage of blood from the brain area (cerebral ventricular drainage)
  • Medicines to prevent seizures
  • Medicines to control headaches and blood pressure
  • Medicines through a vein (IV) to prevent infection

Once the aneurysm is repaired, treatment may be needed to prevent a stroke from a blood vessel spasm.

Who are the top Brain Aneurysm Local Doctors?
Elite
Highly rated in
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Neurosurgery

Jefferson Neurological Associates

Philadelphia, PA 

Pascal Jabbour is a Neurosurgery doctor in Philadelphia, Pennsylvania. Dr. Jabbour has been practicing medicine for over 24 years and is rated as an Elite doctor by MediFind in the treatment of Brain Aneurysm. He is also highly rated in 41 other conditions, according to our data. His top areas of expertise are Brain Aneurysm, Stroke, Subarachnoid Hemorrhage, and Apoplexy. He is board certified in Neurosurgery and licensed to treat patients in Pennsylvania and New Jersey. Dr. Jabbour is currently accepting new patients.

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Highly rated in
21
conditions
Neurosurgery

909 Walnut Street Office

King Of Prussia, PA 

Stavropoula Tjoumakaris is a Neurosurgery doctor in King Of Prussia, Pennsylvania. Dr. Tjoumakaris has been practicing medicine for over 19 years and is rated as an Elite doctor by MediFind in the treatment of Brain Aneurysm. She is also highly rated in 21 other conditions, according to our data. Her top areas of expertise are Brain Aneurysm, Subarachnoid Hemorrhage, Stroke, and Apoplexy. She is board certified in Neurosurgery and licensed to treat patients in Pennsylvania and New Jersey. Dr. Tjoumakaris is currently accepting new patients.

 
 
 
 
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Elite
Highly rated in
10
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Neurosurgery

Neurology - Park Ridge Luther Ln

Munster, IN 

Demetrius Lopes is a Neurosurgery doctor in Munster, Illinois. Dr. Lopes has been practicing medicine for over 29 years and is rated as an Elite doctor by MediFind in the treatment of Brain Aneurysm. He is also highly rated in 10 other conditions, according to our data. His top areas of expertise are Brain Aneurysm, Stroke, Subarachnoid Hemorrhage, and Apoplexy. He is board certified in Neurosurgery and licensed to treat patients in Illinois. Dr. Lopes is currently accepting new patients.

What is the outlook (prognosis) for Brain Aneurysm?

How well you do depends on many things. People who are in a deep coma after an aneurysm rupture do not do as well as those with less severe symptoms.

Ruptured cerebral aneurysms are often deadly. Of those who survive, some have no permanent disability. Others have moderate to severe disability.

What are the possible complications of Brain Aneurysm?

Complications of aneurysm in the brain may include:

  • Increased pressure inside the skull
  • Hydrocephalus, which is caused by an accumulation of cerebrospinal fluid in the ventricles of the brain
  • Loss of movement in one or more parts of the body
  • Loss of sensation of any part of the face or body
  • Seizures
  • Stroke
  • Subarachnoid hemorrhage
When should I contact a medical professional for Brain Aneurysm?

Go to the emergency room or call 911 or your local emergency number if you have a sudden or severe headache, especially if you also have nausea, vomiting, seizures, or any other nervous system symptom.

Also call if you have a headache that is unusual for you, especially if it is severe or your worst headache ever.

How do I prevent Brain Aneurysm?

There is no known way to prevent a berry aneurysm from forming. Treating high blood pressure may reduce the chance that an existing aneurysm will rupture. Controlling risk factors for atherosclerosis may reduce the likelihood of some types of aneurysms.

People who are known to have an aneurysm may need regular doctor visits to make sure the aneurysm is not changing size or shape.

If unruptured aneurysms are discovered in time, they can be treated before causing problems or monitored with regular imaging (usually yearly).

The decision to repair an unruptured cerebral aneurysm is based on the size and location of the aneurysm, and the person's age and general health.

Cerebral aneurysm
Cerebral aneurysm
What are the latest Brain Aneurysm Clinical Trials?
WEB® Intrasaccular Therapy Study China Clinical Trial Protocol
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A Prospective, Multicenter,Single Arm Clinical Investigation Evaluating Safety and Effectiveness of the Flow Diverter for Treating Patients With Intracranial Aneurysms
What are the Latest Advances for Brain Aneurysm?
Propensity score-adjusted analysis on stent-assisted coiling versus coiling alone for ruptured intracranial aneurysms.
ADPKD and intracranial aneurysms: indications for screening, follow-up and clinical management.
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RNF213 c.14576G>A Is Associated with Intracranial Internal Carotid Artery Saccular Aneurysms.
What are our references for Brain Aneurysm?

American Stroke Association website. What you should know about cerebral aneurysms. www.stroke.org/en/about-stroke/types-of-stroke/hemorrhagic-strokes-bleeds/what-you-should-know-about-cerebral-aneurysms#.Wv1tfUiFO1t. Updated December 5, 2018. Accessed August 21, 2020.

National Institute of Neurological Disorders and Stroke website. Cerebral aneurysms fact sheet. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Cerebral-Aneurysms-Fact-Sheet. Updated March 13, 2020. Accessed August 21, 2020.

Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms and subarachnoid hemorrhage. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016:chap 67.

Thompson BG, Brown RD Jr, Amin-Hanjani S, et al. Guidelines for the management of patients with unruptured intracranial aneurysms: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2015:46(8):2368-2400. PMID: 26089327 pubmed.ncbi.nlm.nih.gov/26089327/.