Causes of vascular aneurysms
Perhaps the appearance of an aneurysm due to the delamination of the vessel wall, in which blood through a micro-rupture in the wall of the vessel enters its tissue and runs a parallel channel. The cause of an aneurysm of cerebral vessels can be provoked by:
- use of tobacco products and drugs (cocaine);
- disorders in the body at the genetic level (polycystic kidney disease, congenital malformations of the arteries);
- oncology.
Signs of an aneurysm of cerebral vessels
An aneurysm of cerebral vessels is, in the main cases of the disease, in the interval between the lower part of the brain and the base of the skull, where the artery branches. But this does not exclude the possibility of the appearance of protrusion anywhere in the brain.
Most often an aneurysm of the brain, having a small size, does not cause anxiety. While larger injuries, prone to increase, eventually begin to press on nearby tissues and cause such symptoms:
- headache;
- okolaglaznye pain;
- the defeat of the nerves or a feeling of partial numbness of the face from the side of the appearance of protrusion;
- deterioration of vision .
A sharp headache, down to unconsciousness, a bifurcation of vision, nausea, vomiting and the appearance of seizures are symptoms of an aneurysm ruptured.
Also, for some time before the rupture of cerebral aneurysms in the human brain, headaches may begin to aggravate, which do not relieve painkillers. Such a signal is a good reason to visit a doctor.
Diagnosis of an aneurysm of cerebral vessels
To diagnose the disease, such progressive methods are used:
- Angiography is a study of the state of blood vessels using X-rays and the use of contrast medium.
- Computer tomography - obtaining two-dimensional computer images of sections of the brain.
- Computer tomography angiography is a computed tomography using the contrast introduced into the blood.
- MRI - magnetic resonance imaging with the help of a special device that makes three-dimensional images of brain sections.
- An analysis for the presence of blood in the cerebrospinal fluid - is used for the supposed rupture of cerebral aneurysms.
Treatment of cerebral aneurysms
Aneurysm treatment is a surgical intervention in which the main indicators are the size of the aneurysm, its location, the probability of rupture and the general condition of the person.
The main surgical methods for the treatment of cerebral aneurysms are:
- Endovascular embolization is the filling of protrusion with platinum microspiral through the incision in the thigh.
- Clipping - the imposition of a titanium microclipse on an aneurysm - is characterized by high complexity of execution.
- Occlusion - trepanation of the skull to establish a clamp on the artery with an aneurysm.
Effects of aneurysm of cerebral vessels
When the aneurysm of the cerebral vessels is ruptured:
- death;
- coma;
- stroke;
- vasospasm.
The prognosis for an aneurysm of the cerebral vessels to recover is given by the doctor, relying on the age, the patient's condition, the concomitant diseases. The recovery time is stretched and can take not only a few weeks, but also several months.
If the aneurysm was diagnosed and surgically excluded before the rupture, the prognosis is generally favorable, and the recovery period is significantly reduced.