![]() Medical treatments for brain aneurysms that have bled are designed to reduce and/or alleviate symptoms. Bleeding from a brain aneurysm is a medical emergency. For example, the neurosurgeon may decide to suction blood out of the area if it's not too large and hasn't caused catastrophic brain damage. These individuals decide if surgery or interventional therapies such as coiling will be of benefit to the patient. Ongoing bleeding of a brain aneurysm usually requires consultation with a neurosurgeon, interventional radiologist, and/or a neurologist. The goal of treatment for unruptured intracranial aneurysms is to prevent bleeding into the brain. Endovascular therapy or coiling (in which a small thin platinum wire is coiled into the aneurysm by a catheter in the blood vessel) is another surgical technique that can result in obliteration of the aneurysm. Surgical treatment (clipping, in which the surgeon places a clip at the base of the aneurysm) is less likely in patients who have poor health or other serious medical conditions. Many investigators suggest that aneurysms larger than 10 mm that are not associated with symptoms should be considered for treatment, especially in patients with coexisting medical conditions. The mortality (death) rate is 1.7% and the morbidity (development of complications) is 6.7%. The controversy lies in the surgical mortality and morbidity of surgically treated aneurysms. Some investigators suggest that aneurysms less than 10 mm be left alone while those larger than that should be considered for treatment in patients less than 50 years old. Treatment for unruptured intracranial aneurysms is very controversial. stroke-like symptoms (loss of speech, loss of sense of smell, paralysis of muscles on one side of the body, or other movement defects).The following is a list of possible symptoms that are seen in patients with a brain aneurysm: However, the most common symptom of a ruptured brain aneurysm is headache and is characterized by the patient describing the headache as “the worst headache of my life.” However, some patients don't report headache as a symptom. The signs and symptoms of a brain aneurysm are variable and occasionally relate to the area of the brain that is affected. Symptoms develop rapidly when an aneurysm ruptures, and in some cases symptoms can be caused by pressure from an unruptured anuerysm. Most brain aneurysms do not cause any signs or symptoms and are discovered during tests for another condition.
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