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I just checked it for you, and I told you why you stayed up late.
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The greatest danger of a cerebral aneurysm is that it may rupture, resulting in intracerebral hemorrhage (usually subarachnoid hemorrhage), which is usually life-threatening (mean mortality rate reported in the literature is 27% to 44%). After bleeding, it is necessary to immediately send to the nearest hospital for emergency treatment**, most of which can achieve good results. Of course, most aneurysms in the brain do not rupture and do not show any discomfort, and can usually only be detected during a physical examination or cerebrovascular examination for other diseases.
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If intracerebral hemorrhage is not caused by trauma, it is mostly caused by hypertensive intracerebral hemorrhage or ruptured aneurysm. Guidance: If surgery** has been performed, the next step is to complete intracranial angiography or vascular CT to determine whether there is an aneurysm, and if there is an aneurysm, surgery is required.
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Analysis: 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. The cause of this disease is not very clear, and the formation of aneurysms can be summarized as follows:
congenital factors; Arteriosclerosis; Infect; Trauma. In addition, there are some rare causes such as tumors that can also cause aneurysms, abnormal vascular network disease at the skull base, cerebral arteriovenous malformations, abnormal development of intracranial blood vessels and cerebral artery occlusion, etc., which can also be accompanied by aneurysms.
Suggestions: Surgery is currently the main method of cerebral aneurysm. There are currently two methods:
Endovascular intervention, minimally invasive surgery (aneurysm embolization) and direct surgery (craniotomy aneurysm clipping). These two methods have their own advantages and disadvantages, and it is necessary to choose one of the best methods or a combination of the two according to the location, shape, number, size, relationship with surrounding tissues and blood vessels, as well as the patient's age and other physical diseases.
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The brain is an important organ of the human body, and the harm of this disease to the human body cannot be ignored. Cerebral aneurysm is a particularly weak area of the artery wall in the brain, which gradually expands outward under the impact of long-term blood flow, forming a small balloon-like hemangioma. Brain experts at the 421 Hospital of the People's Liberation Army in Guangzhou said that the greater the local blood flow pressure, the higher the risk of aneurysm rupture.
When rupture occurs, blood enters the surrounding tissues. Sometimes, the aneurysm does not rupture, but because of its increased size, it can compress nearby nerves, causing symptoms. Adopt it.
Is it severe if it is severe and requires another operation.
<>Recently, Ms. Zhang from Dalian usually sings and likes to soar high notes. At a dinner party with friends, she sang "Qinghai-Tibet Plateau" after she was full, but her head suddenly began to hurt very much, accompanied by nausea and vomiting. She was immediately sent to the hospital for examination**, and after examination, it was found that Ms. Zhang had a subarachnoid hemorrhage, and the cause turned out to be a ruptured brain aneurysm. >>>More
After 2 years, it is basically difficult to recover, you can try to do hyperbaric oxygen and acupuncture**, and drug recommendations are not considered.
When the cerebral aneurysm ruptures and bleeds, it is a very dangerous disease, and the reasons that affect the patient's long-term coma are as follows: 1. The preoperative situation, if the preoperative coma is deep, that is, the preoperative condition is serious, and the postoperative recovery time is long 2. What is the postoperative intracranial situation? This needs to provide relevant cranial CT and other imaging data for judgment, now if the cerebral edema is severe, it is estimated that the doctor has used the corresponding drugs**, this needs a more detailed understanding of the patient's condition in order to say, the current phlegm lung infection needs to strengthen the control of inflammation, if necessary, tracheostomy. >>>More
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.