MBBS, DNB - Neurosurgery, Fellowship in Neurosurgery
Neurosurgeon, Delhi
•
20 years experience
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Neurosurgery for treating a brain aneurysm does not always require general anaesthesia.
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Depending on the nature of aneurysm and the type of procedure, general anesthesia may or may not be used. In some cases, a low-risk procedure will not necessarily require the use of general anesthesia. Instead, medicine will be administered to the patient, which will induce relaxation of the body but not put him or her to sleep or a state of unconsciousness.
Which of the following directly increases the risk of having a brain aneurysm?
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There are various underlying health conditions that can contribute to the risk of getting a brain aneurysm. Poorly controlled high blood pressure is one such condition which puts a person at great risk of brain aneurysms that will need to be treated through surgery. Another condition that increases a person s risk of suffering from a brain aneurysm is a renal disorder known as autosomal dominant polycystic kidney disease (ADPKD).
The only way to treat a brain aneurysm through surgery is by clipping it.
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Neurosurgical clipping is one way of dealing with a brain aneurysm but there is another kind of procedure that is also used. Known as endovascular coiling, this procedure involves the insertion of a catheter into an artery in the leg or groin. This catheter is then guided up to the area of a brain aneurysm and used for putting platinum coils into the aneurysm, which prevents blood from entering it, thereby keeping it from growing any further.
In which of the following cases is neurosurgery for treating a brain aneurysm considered risky?
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The age of a person plays an important role in determining whether or not neurosurgery would be suitable for them. Studies have shown that when it comes to treating a brain aneurysm, the risk factor is higher if the patient s age is more. In such a situation, the risks often outweigh the benefits of the procedure.
Neurosurgery for the treatment of a brain aneurysm is done only after it has ruptured.
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In many cases, surgical procedures are performed before a brain aneurysm ruptures. This is known as preventive surgery and is usually performed when there is a high-risk factor involved. Preventive surgery for an aneurysm that has not ruptured is usually opted for if an aneurysm is large in size or situated close to a major blood vessel. It is also performed if ruptured brain aneurysms are at present in the family history of the patient.