Principal Director & HOD
Neurology
+91-11-30403040The Advanced Aneurysm Treatment Unit at BLK-Max Super Speciality Hospital is a part of the Centre for Neurosciences. Our experts at the centre provide comprehensive care, using a multidisciplinary approach with cutting-edge facilities to be at the forefront of brain aneurysm awareness, education, care, and treatment.
Our team of experts hold expertise in treating most of the complex and rare cases related to a brain aneurysm, in order to ensure quality care and successful recovery. We use the latest minimally invasive technology and services to treat our patients and help them improve their quality of life.
A brain aneurysm is the bulging and weakening of an area in the wall of an artery in the brain, resulting in an abnormal widening or ballooning. The aneurysm is always at risk of bursting - leading to a brain haemorrhage. Although most cases of brain aneurysm are likely the result of a genetic alteration, infection or trauma, atherosclerosis can also cause aneurysms. There are three types of aneurysm:
Even though many patients show no symptoms, or simply experience mild headaches, 40% of patients may have warning signs such as:
When the arteries rupture, the patient may experience
The above-mentioned symptoms may result in an intra-cranial haemorrhage called the subar-achnoid haemorrhage. A doctor will evaluate the patient for the above symptoms and will prescribe a treatment plan accordingly.
A patient requires undergoing Advanced Aneurysm Treatment if you encounter risk factors such as:
Inherited risk factors
Acquired risk factors
These risk factors increase the patient’s risk to develop Brain Aneurysm. Some patients may experience more than one risk factor and may not develop the disease, while others may show no symptoms and can be diagnosed with a brain aneurysm. A doctor will evaluate the patient’s health by performing some diagnostic tests.
Some of the most common diagnostic tests used to evaluate the patient’s condition for Brain Aneurysm include:
To provide maximum comfort to the patient, conscious sedation and local anaesthesia are given before the catheters are placed. Most patients undergoing diagnostic angiography need to stay in the hospital for 3 to 6 hours after the procedure. To ensure complete peace of mind, patients are always seen by a physician prior to discharge. After the angiography, patients must avoid heavy lifting or exercise for the next10 days and swimming for 5 days.
This helps in creating an image of the brain with the help of contrast dye injected into one of your veins to make it easier to see the blood flow and spot aneurysms in your brain.
It is a non-invasive and painless procedure that does not involve x-ray radiation to create detailed images of the brain within the body. It is utilised to image almost all parts in the brain using a magnetic field and radio waves.
This test is advised if your doctor suspects that aneurysm may have ruptured. The technician will draw spinal fluid to see whether it contains blood, which could indicate that an aneurysm has ruptured.
A doctor may prescribe the treatment by evaluating the diagnostic reports and create a plan which works best based on your health and the size, type, and location of the aneurysm. The two most advanced methods used for Aneurysm Treatment include:
It is a surgical process that demands the removal of a section of the patient’s skull in order to locate the aneurysm. A metal clip is then placed on the opening of the aneurysm to cut off the blood flow from the blood vessel that feeds the aneurysm. The brain is then sealed back with stitches.
In endovascular coiling, a very thin metal wire is inserted inside the brain aneurysm, through a miniature catheter, by a highly experienced surgeon. This micro-catheter is navigated through the web of brain arteries under image guidance in a cath lab. Once the catheter reaches the desired location, a series of handmade coils are placed inside the aneurysm and detached from outside the body. These small coils form a coil mass which blocks the blood flow to the aneurysm and subsequently lead to the healing of the artery.
It is one of the latest and most advanced treatments for a brain aneurysm, which involves the use of flow diverters, tubular stent-like implants. These implants work by diverting blood flow away from an aneurysm sac, thereby stopping blood movement within the aneurysm. This helps in stimulating the body to improve the site.
Some major precautions one must take to improve their health condition are:
Some of the common complications associated with the treatment of brain aneurysm include:
More serious problems which are rare include:
However, if a patient feels high discomfort after the treatment then he/she must immediately seek a doctor’s help.
Dr. Atul Prasad
Neurology
Dr. Rajiv Anand
Neurology
Dr. Man Mohan Mehndiratta
Neurology
Dr. Vinit Banga
Centre For Neurosciences
Dr. Varun Rehani
Neurology