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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What is the cause of a brain aneurysm?

I was on a flight home last holiday season; plane was still parked in slot and a flight attendant slamed a carry on into the overhead and a metal cane plummeted out and struck me on the forehead right above the left eye. I was stunned and disoriented and fell onto the passenger next to me. The plane took off and I was not attended to medically until the next layover in another town. I had an x ray and was given a eye chart to read; had blury vision. I was given a shot for pain and put onto another flight for 4 hrs until I reached home. My question is , Should I have been flown any distance with a head injury of this sort? And secondly; after a Ct scan i was diagnosed with a brain aneurysm; which has since been treated with a pipeline stent. Could this have been caused by the injury or provoked by it? Drs. here say no and I have a suit against the airline.
Fri, 14 Dec 2018
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Neurologist 's  Response
Hi,

Regarding the first question the answer is not that easy since I weren't able to examine you at the time. The severity of the hit seems minor (though depends on how heavy that can was) and I am inclined to say that you could have safely flown, however since you say you were disoriented you should have been checked, if a mental status alteration was present it would have been more prudent to have you seen by a doctor.

As for the second question the answer is easy, there is no relationship whatsoever between that injury and the aneurysm. Up to 2% of people develop aneurysms in their lifetime, so it is not uncommon for them to be discovered by chance during imaging for other causes. It wasn't caused by the injury as your doctors have told you.

Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Olsi Taka,
Neurologist
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What is the cause of a brain aneurysm?

Hi, Regarding the first question the answer is not that easy since I weren t able to examine you at the time. The severity of the hit seems minor (though depends on how heavy that can was) and I am inclined to say that you could have safely flown, however since you say you were disoriented you should have been checked, if a mental status alteration was present it would have been more prudent to have you seen by a doctor. As for the second question the answer is easy, there is no relationship whatsoever between that injury and the aneurysm. Up to 2% of people develop aneurysms in their lifetime, so it is not uncommon for them to be discovered by chance during imaging for other causes. It wasn t caused by the injury as your doctors have told you. Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Olsi Taka, Neurologist