HOW BRAIN ANEURYSM CAUSES PROBLEM ? ITS SIGNS ,DIAGNOSIS AND TREATMENT?! скачать в хорошем качестве

HOW BRAIN ANEURYSM CAUSES PROBLEM ? ITS SIGNS ,DIAGNOSIS AND TREATMENT?!

1. What is an intracranial aneurysm ? Aneurysm is a ballooning of the weakened wall of the vessel , which usually occur in the bifurcation of major vessels in the base of the brain. Hi vessel can be compared to PVC PIPE our house. Like water blood will be freely flowing through it inside. Aneurysm can be compared to weakened tyre seeing in this pic. Which is ballooned out. Any further blowing of air in the tyre will burst the tyre. 2. Why it is dangerous ? Aneurysms are dangerous if untreated , it's rupture can cause major stroke and damage the brain due to sudden increase in the intracranial pressure because of haemorrhage. 3. What are the signs of aneurysm ? This Depends on the location and size of the aneurysm a. Dropping of the eyelid b. Sudden onset of Severe headache also known as thunderclap headache, neck stiffness and vomiting ( ruptured ) c. Ch headaches d. Giddiness e. Seizures f unconsciousness g Sudden death in ruptured aneurysm 4. What are the risk factors of aneurysm ? Most common a. Japanese, Finnish ( people living in Japan & Finland ). In India also it is increasing. b. Connective tissue disorders. c. Polycystic kidney disease. 5. How it is diagnosed ? a. CT brain, CT angiogram b. MRI brain, MR angiogram c. DSA ( digital subtraction angiogram )- is a gold standard for diagnosing aneurysms. Gold standard means simply great or excellent. A thing of superior quality which serves as a point of reference against which other things of its type may be compared. Treatment of Aneurysm Main goal to treat the aneurysm is to prevent its a rupture & sealing of a ruptured aneurysm and prevent blood flow into the aneurysm. Treatment depends on configuration and location of aneurysm in the brain. 1. Craniotomy and Clipping of aneurysm It is done by neuro surgeon after craniotomy .Here small portion of the skull bone is removed & small clip is applied at the neck of the aneurysm to prevent blood entering to the aneurysm. 2. Endovascular coiling It is a minimally invasive procedure done in cathlab fluoroscopy . Here soft platinum coils are used to fill the aneurysm through catheters & micro wires. Most commonly access is obtained by puncturing the blood vessel in groin Once coiling in the aneurysm done clot will be formed in the aneurysm & blood will not enter into the aneurysm which prevents the a rupture of aneurysm. 3. Flow diverters This is an advanced minimally invasive procedure done in cathlab. Here micro catheters and micro guide wires are used to access the aneurysm. Here metallic mesh is placed across the aneurysm. Blood will flow through the mesh & clot will be formed within the aneurysm & aneurysm will be sealed which prevents the eruption of aneurysm. Cons - expensive for hardware 7. What is deadliest complications of ruptured aneurysm ? Vasospasm for a period of 21 days For any details kindly contact at 7349017701 or [email protected]