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Suggest treatment for brain aneurysm - Online Doctor Chats

Date : 23-Apr-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1563 Questions
User:I was diagnosed with a 1mm anterior communicator artery brain aneurysm last week. I've been having mild headaches and blood in my snot which is unusual. I've been blaming the headaches on allergies (which I'm not sure I even really have). I just wanted to see if the bleeding and headaches are related to my aneurysm. Also, given what I've told you, do you think surgery is necessary since the aneurysm is so small. I have two young boys, so death or paralysis is not an option. :) Thanks!
User:Nice to meet you, I'm XXXXXXX
Doctor:Nice to meet you too Ms XXXXXXX
Doctor:please give me a minute to go through your question
Doctor:The aneurysm is very small as you said
Doctor:but since you have symptoms, it is reasonable to attribute your symptoms to an identified pathology
User:I should also tell you the reason I got my MRI is because I lost vision at the wheel of my car, regained it, pulled off the road and passed out
Doctor:Where exactly is the aneurysm in the anterior communicating artery? did the radiologist give a precise location in relation to other brain structures?
User:causing me to wreck my car against the barrier
User:i don't know
Doctor:Oh okay, that is quite significant
User:do you think it could be related?
User:the nurse who called to tell my I had an aneurysm said it wasn't related
Doctor:If there was no bleeding from the aneurysm then it is unlikely to be related
Doctor:but, anterior communicating branch sits right on the optic chiasma
Doctor:so it can cause sudden loss of vision
User:even unruptured?
Doctor:Yes, if the aneurysm presses on the optic chiasma, it can cause sudden loss of vision
Doctor:but not at the size you have
Doctor:1mm aneurysm is too small to cause any symptom
User:so headache and nosebleed are most likely not a symptom?
User:would you recommend surgery to prevent it from getting larger?
Doctor:Headaches and nose bleed could become significant symptoms if there was any bleeding noted on MRI
Doctor:It is very delicate procedure, best method would be endovascular embolization
User:Is that where they go through your hip?
Doctor:or endovascular sclerotherapy
Doctor:not exactly hip
Doctor:it is the groin
User:close to the
User:how would they be able to tell if there were bleeding
User:is it possible for it to leak without exploding?
Doctor:Bleeding will be visible clearly on an MRI
Doctor:With 1 mm size, yes it is possible for it to leak into the nose without exploding
Doctor:hence my ambiguous answers
User:i don't love that
User:so in your opinion, would surgery while it's small be a better option than waiting?
Doctor:I think I am not the best person to answer that particular question
Doctor:You should as the surgeon who you will be seeing for the problem
Doctor:is there anything else you would like to ask me?
User:no, i think that's all
Doctor:Thanks for using the service
Doctor:Please talk to your surgeon
Doctor:I hope everything will turn out to be fine
Doctor:All the best
Doctor:Take care and have a great day ahead
Question is related to
Diseases and Conditions
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