Family Physician Questions Neurosurgeon

Can surgery fix a brain aneurysm?

I have a brain aneurysm. Can surgery fix a brain aneurysm?

1 Answer

Yes, surgery can be used to treat and potentially fix a brain aneurysm. There are two primary surgical methods to treat a brain aneurysm:

1. Surgical Clipping:
• Procedure: Involves placing a small metal clip at the base of the aneurysm to stop blood flow into it.
• Effectiveness: This method effectively isolates the aneurysm from the normal blood circulation, preventing rupture or re-rupture.
• Recovery: Requires open brain surgery and has a longer recovery period but is highly effective for certain types of aneurysms.
2. Endovascular Coiling:
• Procedure: Involves inserting a catheter through the blood vessels to the aneurysm and filling it with tiny coils. The coils promote blood clotting, which seals off the aneurysm.
• Effectiveness: Less invasive than clipping and typically has a shorter recovery time. It is particularly useful for aneurysms located in hard-to-reach areas of the brain.
• Recovery: Recovery time is generally shorter compared to clipping, and the procedure can often be performed without open surgery.

Considerations:

• Aneurysm Characteristics: The size, location, and shape of the aneurysm, as well as the patient’s overall health, will influence the choice of treatment.
• Risk Assessment: Both procedures carry risks, including bleeding, infection, and complications related to anesthesia.
• Follow-Up: Regular follow-up imaging may be necessary to ensure the aneurysm is adequately treated and to monitor for any potential recurrence or complications.

Next Steps:

• Consultation: Discuss with a neurologist, neuro interventional radiologist, or neurosurgeon to evaluate the best treatment option for your specific condition.
• Pre-Surgical Evaluation: Comprehensive pre-surgical assessment to ensure the safest and most effective treatment plan.

Surgical intervention can effectively treat a brain aneurysm and prevent life-threatening complications such as rupture. It is crucial to have a detailed discussion with your healthcare team to understand the risks and benefits and to determine the most appropriate treatment approach for your situation.