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Aneurysm with no warning symptoms... one in three die if the blood vessel ruptures

Aneurysm with no warning symptoms... one in three die if the blood vessel ruptures

Reporter Im Jong-eon (eoni@kormedi.com)
 
 
Medical experts have diagnosed that one in three patients with brain aneurysms caused by ruptured blood vessels due to high blood pressure die. Those with a family history who show no special symptoms before rupture need ongoing monitoring through regular check-ups.

Professor Yoon Won-ki of the Department of Neurosurgery at Guro Hospital, Korea University, stated on the 7th, "A cerebral aneurysm usually has no symptoms, but if it ruptures, it causes extreme pain unlike anything experienced in life, similar to being hit with a hammer," and added, "It is accompanied by nausea, vomiting, and stiff neck, and in severe cases, increased intracranial pressure can lead to consciousness loss or coma."

 

A cerebral aneurysm refers to a condition where a part of the brain's artery balloons out like a balloon. When blood pressure increases, the blood vessel can rupture, leading to a brain hemorrhage. According to Professor Yoon, the fatality rate is so high that one in three patients with a ruptured blood vessel may die.

In particular, if there is a family history such as a direct family member with an aneurysm, the risk of occurrence is reported to be four times higher. It can also occur in cases of cerebrovascular diseases such as arteriovenous malformations and Moyamoya disease.

 

Professor Yoon said, "Since no clear cause has been identified, there is no way to prevent the onset itself," but he also added, "If detected early, brain hemorrhage can be prevented before rupture, so if you have a family history or belong to high-risk groups such as smokers or those with hypertension, it is advisable to undergo health screenings instead of regular checkups."

 

Treatment methods for cerebral aneurysms are divided into two types: 'clipping surgery,' which involves opening the head and securing the swollen blood vessel with a clip, and 'coil embolization,' which does not require opening the head and involves inserting a thin platinum coil into the femoral artery in the thigh to prevent blood from entering the aneurysm.

 

Recently, in clip ligation procedures, a 'mini craniotomy' has been performed, which involves making a small hole less than 3cm without fully opening the head, reducing patient burden. Additionally, when the swollen area is large, a 'flow diversion stent procedure' is also performed, which involves inserting a stent to open the blood vessel and change the blood flow direction for treatment.

 

Professor Yoon said, "Aneurysms are not over just because you have undergone a procedure or surgery. Even if the treatment is successful, they can recur in other areas over time, so factors that can influence them, such as high blood pressure, must be thoroughly managed."

He also added, "Patients who have undergone coil embolization or stent procedures should take antiplatelet medication consistently and undergo regular follow-up examinations."

 

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We have a family member with a cerebrovascular disease.

Mom's older brother... Uncle

You have returned to the cerebral blood vessels..

 

Will my mother have a family history?

 

Passed away in the fall...

Especially these days when the weather is highly unpredictable

You need to be careful.

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