A brain aneurysm surgery is a procedure to prevent an aneurysm from rupturing or to treat a ruptured aneurysm.
A brain aneurysm surgery is a procedure to prevent an aneurysm from rupturing or to treat a ruptured aneurysm. This occurs when there is a blood vessel bulging because of a weakened wall. Due to the weak blood vessel wall, blood flowing through the wall applies pressure on it, which results in swelling and a bulge. Though an aneurysm can occur anywhere in the brain, it is most likely found in the base. If the doctor suspects an aneurysm, an MRI or a CT scan is recommended to confirm the diagnosis. In most cases, an MRI is advised when the aneurysm has not ruptured while a CT scan is preferred when it is already ruptured. Aneurysm treatment depends on whether it has ruptured or not. In case it has not ruptured and is not at risk, doctors might prescribe medications and lifestyle changes to lower the blood pressure. Patients will also need to go for regular check-ups to monitor the aneurysm. In cases where there is a high risk of rupturing or it is already ruptured, doctors will recommend a surgery. The two surgical techniques for treatment include surgical clipping and endovascular coiling.
If the aneurysm has not ruptured or leaked, there might not be any symptoms in the body. Many people, in fact, go years without realising the aneurysm in the brain. However, when the aneurysm leaks, it causes brain haemorrhage and showcases symptoms like: • Severe headache • Stiff neck • High blood pressure • Connective tissue disorders • Polycystic kidney disease • Impaired speech or double vision • Muscle weakness • Drooping eyelids • Numbness in the body The surgeon will recommend the right treatment for brain aneurysm after carefully analysing the situation. Not all aneurysms need to be repaired immediately. If they are smaller than 3 mm, they have a lesser chance of rupturing.
The surgeon conducts a series of tests to check the patient’s health and stability to undergo a brain surgery. Since this procedure is conducted under general anaesthesia, the doctor advises the patient to refrain from eating or drinking for at least 8-10 hours before the surgery. Sometimes, an aortic aneurysm surgery might be done in an emergency and in such cases, there is little a patient can do to be prepared. If the surgery is pre-planned, make sure to: • Notify your doctor about all the medicines you are taking, including over-the-counter pills and nutritional supplements • Quit smoking at least a week before the surgery • Take all medicines given by the doctor and follow the instructions to ensure no additional complications in the surgery
There are two surgical approaches to repair the brain aneurysm. One involves surgically clipping the aneurysm while the other involves using an endovascular coil to close off the artery. Both procedures are performed under general anaesthesia by a highly skilled neurosurgeon and his team. Surgical Clipping – In this procedure, the surgeon makes an incision in the scalp and a part of the skull bone is removed to gain access to the brain. The neurosurgeon then applies a metal clip on the aneurysm to close it and leaves it there for permanently closing the aneurysm and preventing it from rupturing again. Then, the skull bone is put in its place and the incision is carefully closed with sutures. Endovascular Coiling – This is a minimally invasive approach which involves inserting a catheter into an artery in the body (arms or legs) and then guiding it all the way through the blood vessels into the brain and the aneurysm. Platinum coils are passed through this catheter and released at the aneurysm. This causes clotting, thus preventing blood from entering into the aneurysm. Using this approach, surgeons can close the aneurysm from the artery and prevent it from rupturing again. After the procedure, the patient is moved into an ICU and closely monitored.
The hospital stay may be just a few days if there was no bleeding in the brain before the surgery. Otherwise, you might have to stay for a week or two in case any complications arose in the surgery. Patients who undergo a clipping surgery usually take longer to recover than those who get an endovascular aneurysm repair. Clipped aneurysm takes longer to heal and thus, patients must take it easy for at least 4 to 6 weeks post the surgery and only resume daily activities after their doctor confirms everything is okay. Endovascular patients can resume activities within a few days of the surgery. However, in the case of endovascular repair, there is a higher chance of the aneurysm reoccurring and therefore, the patient needs to constantly go for follow-up angiography to keep monitoring the aneurysm.
Since aortic aneurysm surgery is a complicated procedure, it comes with a significant amount of risks. While it is best to understand all the risks and complications before your surgery, also be aware of the success rate of the doctors so that you don’t get worried just thinking about the adverse effects. Some of the common risks associated with this surgery include: • Blood clots • Brain swelling • Infection • Seizures • Stroke • Weakness • Confusion • Speech or vision problems • Behavioural changes • Brain damage • In rare cases, death may occur due to additional complications
You will find some of the best neurosurgeons in India with an expertise in treating brain aneurysms. Normally, the cost of a brain aneurysm surgery in India is about $6000 to $8000 (exact cost will depend after evaluation in our hospital). You can choose from different super-speciality hospitals and get premium quality care at a cost-effective price. Patients can also be assured of the latest medical equipment and in all leading hospitals in the country. If you have any further questions regarding the surgery or alternative treatment options, we invite you to talk to our highly expert neurosurgeons on +91-9999950957.
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