Is the intracranial aneurysm serious? How should I treat it?

FYI: The current mainstream methods of intracranial aneurysm are divided into two types, one is craniotomy, clipping the aneurysm; The second is interventional surgery, the use of spring coils for endovascular embolization, the cost of the two types of surgery comparison, the operation is definitely cheaper, an aneurysm clip is about 3000-4000 yuan, under normal circumstances, if it is an aneurysm, the use will not exceed 3 aneurysm clips, so plus the cost of surgery and anesthesia, the cost of this operation can be controlled within 20,000 yuan, but because it is a craniotomy, the risk is relatively large, and it is more suitable for aneurysms in superficial areas that are easy to operate; The interventional surgery, in fact, is the same as your aunt's DSA, but also from the femoral artery catheterization, the difference is that the former is only imaging, and the operation is through this catheter to insert the metal spring coil, which plays the role of blocking the aneurysm, the cost is very high, generally a spring coil is thousands to tens of thousands of yuan, and an aneurysm, especially a wide-neck aneurysm, sometimes requires more than a dozen or even twenty spring coils, so it is impossible to get down without hundreds of thousands, but the advantage is that the risk is small, and the postoperative recovery is fast. For aneurysms that are difficult to operate with deep surgery, interventional surgery has its advantages.

The biggest harm of intracranial aneurysm is that intracranial hemorrhage, cerebral vasospasm, cerebral infarction, hydrocephalus, etc., resulting in disability and death of patients due to rupture and hemorrhage. Modern microneurosurgery and endovascular aneurysms can be safe and effective** Aneurysms can be clamped with intracranial intracranial aneurysm clipping using microneurosurgery technology, 80% of patients can return to normal, and surgical intervention should be actively carried out for ruptured intracranial aneurysms to prevent rebleeding!

Of course, others include things like internal medicine** or combined hybrid surgery**, which are treated on a case-by-case basis. Generally, for aneurysms, as long as they are found, they need to take corresponding measures in time to reduce rupture and bleeding. Once ruptured and bleeding, the consequences can be catastrophic.

Therefore, the ** of the aneurysm must decide on a different ** plan according to the different conditions. For example, for an unruptured aneurysm. It is mainly through controlling blood pressure, stabilizing blood sugar, quitting smoking and drinking, and this aspect is the main thing.

Surgery must identify the trend of the disease, and if the increase is acute in the short term, and the risk of rupture is measured to be high, aggressive surgery is required**.

Well for a brain aneurysm that has ruptured. Regardless of whether other **methods are carried out**, the operation must be carried out uniformly**. However, for those with grade 5, then there is basically no chance of surgery.

For grades 1 to 4, aggressive surgery is still required**. For the choice of intervention and craniotomy. This is a different way to choose according to the condition of the aneurysm.

Generally prefers to be carried out in an intervening manner**. But for a wide neck, or there are some other states. For example, the bone is relatively thin or should be carried out by craniotomy, the craniotomy trauma is large, but the effect is relatively long-lasting, and the interventional trauma is small, but the probability of the later stage is higher, but with the progress of the current technology, the technology of entry continues to improve.

After the intervention, the probability of ** has decreased relatively little. Therefore, there is still a way to intervene according to the condition, supplemented by surgery. Of course, for some other aneurysms of the opposite sex, such as fusiform aneurysms, dissecting aneurysms, etc., this is sometimes necessary to be carried out by combined surgery, that is, hybrid surgery.

For example, if a dissected aneurysm is present, interventional embolization and bypass by vascular anastomosis surgery can be combined**. Therefore, for aneurysms, it is necessary to decide on the best plan based on the specific situation.

Case situation】A 71-year-old male patient, Kong, had headache symptoms without obvious cause 2 months ago, and the headache continued to worsen in the past month, and the pain was severe and unbearable, and was accompanied by vision loss, vomiting, and sometimes dizziness. In the past, the patient used to take painkillers on his own when he had a headache, but he did not respond to the pain medication recently, so he came to our hospital. After insistence on MRI and CT, the patient was initially considered to have an intracranial aneurysm.

He was admitted to the hospital for further diagnosis and treatment.

Diagnosis and treatment process], p: 89 times, r: 20 times, bp:

146/76/mmhg。The patient is conscious, poor in spirit, slightly low breath sounds in both lungs, a small number of wet rales and scattered wheezing in both lower lungs, the heart rhythm is uniform, and there is no murmur in the auscultation area of each valve. Physical examination revealed normal movement, sensation and blood circulation in both lower extremities.

Adjuvant cranial CTA showed that the anterior cerebral artery communicating branch aneurysm; Cerebral arteriosclerosis, bilateral internal carotid artery and vertebral artery sclerosis. The diagnosis of intracranial aneurysm is correct, and it is recommended to consider endovascular intervention** or Kaizheng Lao cranial surgery** aneurysm.

However, the patient's family refused to operate on the aneurysm, and finally decided to adopt a conservative approach after discussion. First use mannitol to reduce intracranial pressure, relieve headache, and then give Imako ginsenosides to shrink the tumor, which plays a positive role in improvement.

Current Situation and Analysis].

The patient had some patients with conservative ** symptoms, and then continued to take ginsenosides to improve, and his condition was relatively stable.

At present, surgery is an option for intracranial aneurysms, but the risk of surgery is higher, so it may be better to take a conservative** effect for elderly patients. At present, the best treatment method is to take Imako ginsenosides to improve the patient's physical fitness, improve immunity, and prevent or reduce the occurrence of intracranial aneurysms. Due to the small molecular weight of ginsenoside Rh2, which can penetrate the blood-brain barrier and effectively and quickly improve the symptoms of patients.

The patient listened to the doctor's advice, and after taking Ginsenoside for a period of time, the symptoms were basically controlled, and there were no more symptoms of headache and vomiting, and his vision also improved. The review has also been stable.

Patients with intracranial aneurysms should be actively prevented once they are diagnosed to avoid life-threatening rupture of the aneurysm. Patients are advised to recuperate, maintain airways and bowel and bow In addition, it is very important to improve the patient's physical fitness, after taking Ginsenoside like the patient, the body has been improved in time and the autoimmune function has been improved, so the quality of life can be completely guaranteed, and the symptoms can be significantly alleviated, which is also the best way for patients with intracranial aneurysm to burn the plexus early.

Localized cystic dilation of the cerebral artery wall. **Most congenital malformations, followed by infection and arteriosclerosis. The peak age of onset is 50-54 years old, and the male-to-female ratio is slightly higher.

The location of the aneurysm was mostly the intracranial segment of the internal carotid artery, followed by the anterior cerebral artery and the middle cerebral artery, and the posterior cerebral artery was less common. Method: There are now two main modalities, craniotomy and intervention.

If an aneurysm is found in an unexpected physical examination, the aneurysm is relatively small and does not have any symptoms, such a patient's condition is not serious, but regular follow-up and regular follow-up examinations are required.

When the aneurysm is large, it causes rupture and subarachnoid hemorrhage. If the amount of bleeding is heavy and causes coma, then such a patient is serious. The amount of bleeding is relatively small, and the prognosis is very high.

In other words, the prognosis of ruptured aneurysm is different and the survival time is different, and the severity is also different.

Multiple aneurysms are managed in the same way as single aneurysms, and surgical mortality is similar. About 1 5 patients with giant aneurysms can only be conservative** and 4 5 can be operated on for various reasons**.