Mr. Ibrahem/Cerebral aneurysm | |
---|---|
Other names | Intracranial aneurysm, brain aneurism, brain aneurysm, cerebral aneurism |
Aneurysm of the basilar artery and the vertebral arteries. | |
Specialty | Interventional radiology, neurosurgery |
Symptoms | None, numbness, pain, inability to move one side of face[1] |
Complications | Subarachnoid bleed[2] |
Usual onset | 30–60 years old[3] |
Types | Saccular, fusiform, infectious[2] |
Risk factors | High blood pressure, smoking, alcohol misuse, cocaine, head trauma,infectious endocarditis, family history[2] |
Diagnostic method | Medical imaging[2] |
Differential diagnosis | Arteriovenous malformations, vertebral artery dissection, stroke[2] |
Treatment | Monitoring for growth, endovascular coiling, surgical clipping[2][3] |
Frequency | 3%[2] |
Deaths | 0.5% of all deaths[2] |
A cerebral aneurysm, also known as a brain aneurysm, is when there is a localized ballooning of a blood vessel located around the brain.[2][1] In most cases no symptoms are present.[2] Occasionally there may be numbness, pain, or an inability to move one side of the face.[1] Complications can include a subarachnoid bleed, which presents with a sudden onset of a severe headache.[2]
Risk factors include high blood pressure, smoking, alcohol misuse, cocaine, head trauma, infectious endocarditis, and family history.[2] A number of genetic conditions, such as autosomal dominant polycystic kidney disease and Ehlers-Danlos syndrome, are associated with a high risk.[2] Types include saccular, fusiform, and infectious.[2] Diagnosis is generally by medical imaging.[2]
Treatment depends on the size, location, and overall health of the person.[2] Generally treatment is recommended when the aneurysm is more than 7 mm in size.[2] What to do with small aneurysms is unclear and these may be simple monitored for growth.[2][3] This can be done by endovascular coiling or surgical clipping.[2]
About 3% of people are affected.[2] Rates are similar in males and females.[2] They occur most commonly in those 30 to 60 years old.[3] They are the cause of about 0.5% of all deaths.[2] Following rupture the risk of death at three months is 50%.[2] A ruptured cerebral aneurysm was first described in 1765.[4]
References edit
- ^ a b c "Cerebral Aneurysms Information Page | National Institute of Neurological Disorders and Stroke". NINDS. 24 October 2020. Archived from the original on 24 October 2020. Retrieved 7 December 2020.
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: CS1 maint: bot: original URL status unknown (link) - ^ a b c d e f g h i j k l m n o p q r s t u v w Jersey, AM; Foster, DM (January 2020). "Cerebral Aneurysm". PMID 29939679.
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(help) - ^ a b c d "Cerebral Aneurysms Fact Sheet | National Institute of Neurological Disorders and Stroke". NINDS. 28 November 2020. Archived from the original on 28 November 2020. Retrieved 7 December 2020.
{{cite web}}
: CS1 maint: bot: original URL status unknown (link) - ^ Smith, Robert R.; Zubkov, Yuri N.; Tarassoli, Yahgoub. Cerebral Aneurysms: Microvascular and Endovascular Management. Springer Science & Business Media. p. PT12. ISBN 978-1-4613-9532-4. Archived from the original on 2021-08-28. Retrieved 2020-12-07.