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Blood leaking in brain from an aneurysm. Had a coil inserted. Planning to operate. What that might be?

May 2014
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Practicing since : 2002
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Ten days ago my friend had blood leaking in her brain from an aneurysm on the right temple area. She had a coil inserted. The aneurysm did not rupture. She is in intensive care and they are operating again tomorrow- they
need to do something else where the coil is located. Do you have any idea what that might be? And what are the
likely processes for her recovery. We have been told that she has a long road ahead....Thanks for any information
and insight you can share. YYYY@YYYY
What are the likely procedures that will be done as she progresses? Tomorrow they are doing another
Posted Sun, 3 Nov 2013 in Brain Tumor
Answered by Dr. Vivek Chail 1 hour later
Brief Answer:
Please find detailed answer below.

Detailed Answer:
Thanks for writing in to us.

An aneurysm is bulging, weak area in the wall of an artery which can cause blood leak and rupture which is severe enough to damage a person's brain and in
some instances also cause death.

Coil embolization is one of the minimally invasive treatments. During this procedure, a small tube is inserted into the affected artery and positioned near the aneurysm. Tiny metal coils are then moved through the tube into the aneurysm, relieving pressure on the aneurysm and making it less likely to rupture. It should be done in a large hospital where many such procedures are done.

Overall, coiling has been shown to be a more effective treatment method than clipping. However, there is a slightly higher risk of re-haemorrhage (bleeding) inside the brain with coiling.

An advantage of coiling is that it's less invasive than clipping and therefore has a faster recovery time. Also, as it's less invasive, the risk of a person having seizures (fits) after surgery is reduced, which is a common complication of invasive brain surgery. Therefore the need for a long road ahead. The next procedure is most likely to do with proper placement of the coil and/ or to put some more coils in the location of aneurysm.

After coiling, the recovery is in a few days to weeks depending on the size and location of aneurysm.

Hope this answers your queries.
Do write back in case of doubts.

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