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Suggest treatment for aneurysm in base of skull

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Posted on Tue, 19 May 2015
Question: I was first told a I have an aneurysm in the base of my skull and now I'm being told it's in my Carotid Artery. Is this a better situation or worse?
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Answered by Dr. Erion Spaho (1 hour later)
Brief Answer:
It is nearly the same, in both cases treatment needed.

Detailed Answer:
Hi and thanks for using HCM.

I read your question and understand your concerns.

Brain aneurysm can be a very serious condition that may threaten your health.

It is a good thing it is yet unruptured.

Ay brain aneurysm should be evaluated and treated correctly.

Treatment is guided by localization and aneurysm characteristics and general medical condition of patient too.

A brain aneurysm if ruptures, poses serious risks by damaging the nearby brainstem in case of cerebellar location, or strokes in case of carotid artery location.

To say it is a good thing or not, there is need for more information about exact location and characteristics of the aneurysm an arteriography ( study of brain vessels by entering into vessels a catheter and contrasting them) is needed, so any imaging studies report will help in a better explanation about your concerns.

Peripheral cerebellar aneurysm poses minor risks regarding to carotid ones, and are treated better by surgery ( clipping), but can be treated by coiling ( endovascular procedure) if are localized into deep vessels.

Carotid aneurysm if is located into cavernous sinus ( a complex structure) is treated only by coiling, surgery ( clipping) causes serious damages.

Hope this answers your question.
If you have further questions feel free to ask.



Above answer was peer-reviewed by : Dr. Prasad
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Answered by
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Dr. Erion Spaho

Neurologist, Surgical

Practicing since :2004

Answered : 4357 Questions

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Suggest treatment for aneurysm in base of skull

Brief Answer: It is nearly the same, in both cases treatment needed. Detailed Answer: Hi and thanks for using HCM. I read your question and understand your concerns. Brain aneurysm can be a very serious condition that may threaten your health. It is a good thing it is yet unruptured. Ay brain aneurysm should be evaluated and treated correctly. Treatment is guided by localization and aneurysm characteristics and general medical condition of patient too. A brain aneurysm if ruptures, poses serious risks by damaging the nearby brainstem in case of cerebellar location, or strokes in case of carotid artery location. To say it is a good thing or not, there is need for more information about exact location and characteristics of the aneurysm an arteriography ( study of brain vessels by entering into vessels a catheter and contrasting them) is needed, so any imaging studies report will help in a better explanation about your concerns. Peripheral cerebellar aneurysm poses minor risks regarding to carotid ones, and are treated better by surgery ( clipping), but can be treated by coiling ( endovascular procedure) if are localized into deep vessels. Carotid aneurysm if is located into cavernous sinus ( a complex structure) is treated only by coiling, surgery ( clipping) causes serious damages. Hope this answers your question. If you have further questions feel free to ask.