For patients-Successful Treatment of a Rare Brain Aneurysm: A Patient’s Recovery Story
We are pleased to share a remarkable success story of a patient treated for a life-threatening brain aneurysm.
Patient Case:
Wilson, a 50-year-old man, came to us with a sudden and severe headache, along with drowsiness. These symptoms raised suspicion of a brain bleed called subarachnoid haemorrhage (SAH), a serious condition that required immediate attention.
Tests and Diagnosis:
1. A CT Brain Scan confirmed bleeding around the brain (SAH).
2. A CT Angiogram did not show any obvious abnormalities in the blood vessels.
3. A more detailed test called Digital Subtraction Angiography (DSA) identified the source of the bleeding—a small bulge (aneurysm) in one of the brain arteries called the superior cerebellar artery (SCA).
Treatment:
To treat the aneurysm, we performed a minimally invasive procedure called endovascular coiling where tiny coils are placed inside the aneurysm through a thin tube (catheter) inserted in the blood vessels. This procedure include PAO(Parent vessel occlusion) successfully sealed the aneurysm, preventing further bleeding.
Recovery:
• Wilson’s recovery was smooth, and he was discharged in a stable condition just 4 days after the procedure.
• However, about a month later, he developed hydrocephalus (a buildup of fluid in the brain), which is a possible complication after a brain bleed. We treated this with a ventriculoperitoneal (VP) shunt, a small device to drain excess fluid from the brain.
• After the procedure, he recovered completely and is now doing well with no symptoms.
About SCA (Superior cerebellar artery treatment)-Treatment for a Superior Cerebellar Artery (SCA) aneurysm typically involves preventing rupture and managing symptoms. Options include surgical clipping or endovascular coiling, both aimed at isolating the aneurysm from blood flow to reduce the risk of bleeding. In some cases, flow-diverting stents may be used. The choice of treatment depends on factors like the size, location, and shape of the aneurysm, as well as the patient’s overall health. Early diagnosis and intervention are crucial to avoid complications such as brain hemorrhage or neurological deficits. Always consult a neurosurgeon or neurologist for a tailored treatment plan.
What This Case Teaches Us:
• Minimally invasive treatments like endovascular coiling are safe, effective, and offer excellent results for managing brain aneurysms, even in challenging locations.
• Early detection and treatment of complications, such as hydrocephalus, are crucial for ensuring a full recovery.
We believe in a team-based approach, bringing together experts in neurosurgery and interventional radiology to provide the best care for complex brain conditions.
For more information or discussions about brain health, feel free to connect with us.
Dr. Ganesh Veerabhadraiah
HOD and Senior Consultant Neurosurgeon
Kauvery Hospital, Electronic City, Bengaluru
Ph no 7259669911
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