Reasons for Procedure
|An aneurysm is a weakened blood vessel in the brain that collects blood. The bulging, blood-filled pocket can put pressure on parts of the brain, pressing on nearby nerves. This can cause symptoms or cause the blood vessel to rupture (hemorrhage).|
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- Numbness or tingling
- Speech disturbances
- Visual changes
- Confusion, memory loss
- Adverse reaction to anesthesia (eg, light-headedness, low blood pressure, wheezing)
- Kidney damage
- Blood clots ( stroke )
- Ruptured aneurysm during surgery
What to Expect
Prior to Procedure (Non-emergency Surgery)
- Physical exam, blood and imaging tests
- Discussion of allergies
- Discussion of medicines you are taking, including over-the-counter and herbal supplements
- Discussion of recent illness or other conditions
- Discussion of risks and benefits of treatment options
- Imaging tests (ultrasound, CT , MRI ) may be done before the procedure. Bring paperwork and scans from these tests to the hospital as directed.
- Arrange for a ride home.
- No food or drink after midnight the night before the procedure.
- Discuss your medicines with your doctor. You may be asked to stop taking certain medicines before your procedure. Common medicines to stop include aspirin , nonsteroidal anti-inflammatory drugs (NSAIDs), or blood thinners.
Description of the Procedure
Immediately After Procedure
How Long Will It Take?
How Much Will It Hurt?
Average Hospital Stay
- You will rest for several hours in the ICU.
- Nurses will monitor your vital signs.
- Rest often.
- Keep your blood pressure under control.
- Clean the incision site as directed. Use a soft wash cloth to gently wipe the incision area and keep it dry.
- Ask your doctor about when it is safe to shower, bathe, or soak in water.
- Take medicine as directed.
- Do rehabilitative therapy as directed.
- Be sure to follow your doctor’s instructions .
Call Your Doctor
- Changes in physical ability—balance, strength, or movement
- Changes to mental status—level of consciousness, memory, thinking, or responsiveness
- Weakness, numbness, tingling
- Signs of infection, including fever and chills
- Redness, swelling, increasing pain, a lot of bleeding, or any discharge from the incision site
- Headache that does not go away
- Changes in vision
- Pain that you cannot control with the medicines you have been given
- Nausea and/or vomiting that you cannot control with the medicines you were given, or that continue for more than two days after leaving the hospital
- Trouble controlling your bladder and/or bowels
- Shortness of breath or chest pain
- Loss of consciousness
The Brain Aneurysm Foundation http://www.bafound.org/
Center for Vascular Surgery (INN) http://neuro.wehealny.org/endo/proc%5Fembolizations.asp
National Institute of Neurological Disorders and Stroke http://www.ninds.nih.gov/
Brain Injury Association of Alberta (BIAA) http://www.biaa.ca/
Heart and Stroke Foundation Canada http://ww2.heartandstroke.ca/splash/
Hotchkiss Brain Institute http://www.hbi.ucalgary.ca/
American Association of Neurological Surgeons. Treatment options for cerebral aneurysms. American Association of Neurological Surgeons website. Available at: http://www.neurosurgerytoday.org/what/patient%5Fe/treatment.asp . Accessed June 3, 2010.
The Aneurysm and AVM Foundation. Brain aneurysms. The Aneurysm and AVM Foundtion website. Available at: http://www.taafonline.org/ba%5Ftreatment.html#ba%5Fclipping . Accessed June 3, 2010.
Cowen J, Ziewacz J, Dimick J, et al. Use of endovascular coil embolization and surgical clip occlusion for cerebral artery aneurysms. J Neurosurg . 2007;107:530-535. Available at: http://thejns.org/doi/pdf/10.3171/JNS-07/09/0530 . Accessed June 4, 2010.
Mayo Clinic. Brain aneurysm. Mayo Clinic website. Available at: http://www.mayoclinic.com/health/brain-aneurysm/ds00582 . Accessed June 3, 2010.
National Institute of Neurological Disorders and Stroke. Cerebral aneurysm fact sheet. National Institute of Neurological Disorders and Stroke website. Available at: http://www.ninds.nih.gov/disorders/cerebral%5Faneurysm/detail%5Fcerebral%5Faneurysm.htm . Accessed June 3, 2010.
Neff D. Brain Aneurysm. EBSCO Patient Education Reference Center. Available at: http://www.ebscohost.com/thisTopic.php?marketID=16&topicID=1034 . Published May 1, 2010. Accessed June 2, 2010.
- Reviewer: Rosalyn Carson-DeWitt, MD
- Review Date: 06/2012 -
- Update Date: 00/60/2012 -