The vast majority of non-bleeding aneurysms are detected asymptomatically and usually incidentally in brain imaging performed for another purpose. Acıbadem Dr. Şinasi Can (Kadıköy) Hospital Brain and Nerve Surgery Specialist Assoc. Dr. Yaşar Bayri pointed out that the most typical symptom of bleeding aneurysms is a sudden onset of severe headache and worsening in general condition, and said, “Patients describe this situation as ‘the most severe headache of my life’. Headache can sometimes be accompanied by short-term loss of consciousness, nausea and vomiting. Although rare, epileptic seizures may occur. In this situation, it can be life-saving for the patient to apply to the health institution as soon as possible.
‘ANEURISMA’ MAY BE THE CAUSE OF SEVERE HEADACHE!
Since the vascular wall of the aneurysm is thin, it can burst from this area and cause bleeding. Sometimes there may be bleeding in the form of leakage before the aneurysm bursts. In the studies carried out; It has been reported that 15-50 percent of the patients have sudden and severe headaches due to light bleeding 6-20 days before the explosion. Since sudden death may occur in 10-15 percent of patients with cerebral hemorrhage, it is of great importance to apply to a health institution without wasting time. Today, brain aneurysm can be easily diagnosed with angiographic tomography, MR angiography and classical angiography methods.
TWICE OCCURRED IN WOMEN
Although it is not yet fully understood why brain aneurysms occur, it is known that some factors increase the risk. Although aneurysms are equally distributed in men and women all over the world, this rate is twice as high in women over the age of 50. It is stated that the decrease in the estrogen hormone, which protects vascular health, together with menopause, is effective in this increase. Brain and Nerve Surgery Specialist Assoc. Dr. Yaşar Bayri said, “Advanced age, hypertension, smoking and excessive alcohol use, atherosclerosis (atherosclerosis), traumas and diseases such as endocarditis increase the risk of aneurysm. In addition to these, the incidence of aneurysm is higher in some diseases such as polycystic kidney disease and fibromuscular dysplasia. Assoc. Dr. Pointing out that the history of aneurysm in more than one person in the family also increases the risk, Yaşar Bayri said, “Therefore, those with a history of aneurysm in more than one family member are recommended to consult their physician for risk factors and screening. Because taking precautions in the early period saves the life of the patient.”
THE FIRST THREE DAYS OF TREATMENT ARE VERY IMPORTANT
Aneurysms are caused by thinning of the blood vessel walls, mostly in the vessels where the vessels are divided into two and the blood flow is forced too much. As blood continues to flow through these thinned veins, the increase in blood pressure causes a small area of the vein to swell outward like a balloon. If the vein is weakened more than necessary or if the pressure inside it suddenly increases, it bursts and as a result ‘brain hemorrhage’ occurs. In case of bleeding, it is very important to treat the aneurysm within the first 3 days. Because the risk of bleeding for the second time of the aneurysm, which has burst once and caused brain hemorrhage, is very high.
RISK OF BLEEDING IS PREVENTED BY THE CLIP METHOD
The goal in the treatment of brain aneurysms is to eliminate the risk of cerebral hemorrhage that may develop as a result of the bursting of the bubble. Two treatment methods are used for this: clipping the balloon with open surgery or endovascular interventions, in other words, closing it with intravenous applications. Brain and Nerve Surgery Specialist Assoc. Dr. Yaşar Bayri said, “In deciding which method the operation will be carried out; Many factors such as the size of the aneurysm, location, age of the patient and the presence of general health problems are effective. Stating that the aneurysm is closed with clamps called clips suitable for the neck of the enlarged bubble using microsurgery methods under the microscope in open aneurysm surgeries, he said, “By leaving the problematic area out of circulation, the blood is disconnected from the aneurysm. Since the blood cannot enter the enlarged vein, the risk of bleeding is prevented. In the endovascular method, the aneurysm sac is filled with a wire-like substance called a coil, usually through a catheter placed in the groin. Assoc. Dr. Yaşar Bayri said that by-pass surgery is used in cases where aneurysms are too large or where closure cannot be performed by both methods. he speaks.