Suggest treatment for brain aneurysm - Online Doctor Chats
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Practicing since : 2003
Answered : 1563 Questions
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!
Hello
Hi!
Nice to meet you, I'm XXXXXXX
Nice to meet you too Ms XXXXXXX
please give me a minute to go through your question
ok
The aneurysm is very small as you said
yes
but since you have symptoms, it is reasonable to attribute your symptoms to an identified pathology
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
Where exactly is the aneurysm in the anterior communicating artery? did the radiologist give a precise location in relation to other brain structures?
causing me to wreck my car against the barrier
i don't know
Oh okay, that is quite significant
do you think it could be related?
the nurse who called to tell my I had an aneurysm said it wasn't related
If there was no bleeding from the aneurysm then it is unlikely to be related
ok
but, anterior communicating branch sits right on the optic chiasma
so it can cause sudden loss of vision
even unruptured?
Yes, if the aneurysm presses on the optic chiasma, it can cause sudden loss of vision
but not at the size you have
interesting
1mm aneurysm is too small to cause any symptom
so headache and nosebleed are most likely not a symptom?
would you recommend surgery to prevent it from getting larger?
Headaches and nose bleed could become significant symptoms if there was any bleeding noted on MRI
It is very delicate procedure, best method would be endovascular embolization
Is that where they go through your hip?
or endovascular sclerotherapy
Yes
not exactly hip
it is the groin
close to the hip...lol
yes
how would they be able to tell if there were bleeding
is it possible for it to leak without exploding?
Bleeding will be visible clearly on an MRI
With 1 mm size, yes it is possible for it to leak into the nose without exploding
hence my ambiguous answers
hmmm
ok
i don't love that
so in your opinion, would surgery while it's small be a better option than waiting?
I think I am not the best person to answer that particular question
ok
You should as the surgeon who you will be seeing for the problem
ok
is there anything else you would like to ask me?
no, i think that's all
Ok
Thanks for using the service
sure
Please talk to your surgeon
I hope everything will turn out to be fine
All the best
Take care and have a great day ahead
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