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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest remedy for cerebral aneurysm

I am 21, 100 lbs. I have had an MRI and a CT angiogram, both of which showed a *potential* post-cerebral aneurysm (I think that was the name for it). Neither one gave solid answers so the neurologist wants a cerebral angiogram. However, I am afraid of the risks involved. I can feel the pulse in the back of my head when I lay down and there is a strange feeling above my ears and directly behind my temples. My wisdom teeth are also coming in. I have had corticosteroid shots in my head (3 years ago) when I had alopecia areata(?). At that time I was very stressed because I was away from home and in college. Is there any chance that this potential aneurysm they have found could be from some other factor (say, my wisdom teeth)? Am I in immediate danger from a ruptured aneurysm? Would it be a good idea to go get the cerebral angiogram despite the risks? My blood vessels break fairly easily.
Thu, 22 Oct 2020
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Internal Medicine Specialist 's  Response
Hello,

The key thing with post-cerebral aneurysms or any aneurysms for that matter is blood pressure control. The aneurysm gets larger and 'stretches' with greater blood pressure so control of this is critical. There are a number of surgical options for treatment including what they call 'coiling' in which a metal coil is placed in the aneurysm to stabilize the walls of the blood vessel.

This is a common procedure and has great success rates. Typically, depending on the size of the aneurysm, these can be carefully monitored for an increase in size with routine CT scans, and intervention only when the size would reach a critical value.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. David Girardi, Internal Medicine Specialist
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Suggest remedy for cerebral aneurysm

Hello, The key thing with post-cerebral aneurysms or any aneurysms for that matter is blood pressure control. The aneurysm gets larger and stretches with greater blood pressure so control of this is critical. There are a number of surgical options for treatment including what they call coiling in which a metal coil is placed in the aneurysm to stabilize the walls of the blood vessel. This is a common procedure and has great success rates. Typically, depending on the size of the aneurysm, these can be carefully monitored for an increase in size with routine CT scans, and intervention only when the size would reach a critical value. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. David Girardi, Internal Medicine Specialist