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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Should Be Done For Aneurysm?

I have been having migraines for the last two weeks which have been so bad I had to go to hospital on one occasion. I went for an MRI and the results say it appears I may have a 2.5mm aneurysm at the junction of the right A1/2 segment, directed posteromedially which I have been told is at the front of your head on the right side which is where I have my migraines. I have been told I can get a CTA which will give me a more definitive result which a neurological surgeon will then look at to decide what action to take. I have however been recommended against having a CTA as it can cause infertility. Can you please tell me if this is true and if I do do it and it confirms the results what the likely course of action will be? Surgery/watch and wait?
Sat, 24 May 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your symptoms and MRI brain findings.

The aneurysm is small, however, it needs to be confirmed. Most importantly, we need to know its exact size and location to decide the best course of action.

The gold standard test is DSA-digital subtraction angiography. I agree that there would be a small radiation exposure but the chance of infertility is low with that.

The rupture of aneurysm can cause more harm than that of angiography.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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What Should Be Done For Aneurysm?

Hi, Thank you for posting your query. I have noted your symptoms and MRI brain findings. The aneurysm is small, however, it needs to be confirmed. Most importantly, we need to know its exact size and location to decide the best course of action. The gold standard test is DSA-digital subtraction angiography. I agree that there would be a small radiation exposure but the chance of infertility is low with that. The rupture of aneurysm can cause more harm than that of angiography. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/