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Brain Aneurysm surgery in India: Hope and Healing
Brain aneurysm surgery is a complex procedure to treat a potentially life-threatening brain condition. An aneurysm is a bulge or balloon-like development that forms when a weak area in the wall of a blood artery in the brain grows.
Untreated aneurysms can potentially burst, resulting in brain hemorrhage, a stroke, or even death. To treat or stop an aneurysm from rupturing, surgery is frequently advised. During this treatment, trained neurosurgeons carefully maneuver the complex network of blood vessels in the brain to fix the aneurysm and restore normal blood flow.
The success rates of brain aneurysm surgeries have significantly increased thanks to developments in medical technology and surgical methods.
Types of Brain Aneurysm
The various types of brain aneurysms are:
● Saccular Aneurysm: This type of aneurysm is a round sac-like structure filled with blood from a main artery or one of its branches. It is the most common type of aneurysm.
● Fusiform Aneurysm: This type causes bulging on all sides of the artery.
● Mycotic Aneurysm: Mycotic aneurysm is caused by an infection that affects arteries in the brain. The infection weakens the wall of the arteries, which causes the aneurysm to form.
What happens if a brain aneurysm ruptures?
There are lots of health problems that can happen if a brain aneurysm ruptures, like:
● Bleeding in the thin tissues covering and protecting the brain (the arachnoid layer).
● Hemorrhagic stroke
It can result in permanent brain damage or other complications, like:
● Vasospasm: When blood vessels narrow or shut down, less oxygen gets to the brain.
● Hydrocephalus: In hydrocephalus, your brain is under a lot of pressure due to blood or cerebrospinal fluid buildup.
● Convulsions
● Coma
● Death
Knowing the symptoms in Detail
| Ruptured Aneurysm | Unruptured Aneurysm | Leaking Aneurysm |
| headache | Pain in the ye | A sudden headache that lasts for a week |
| Nausea | Dilated pupil | |
| Stiff neck | Double vision | |
| Blurred vision | ||
| seizures | ||
| confusion |
What are the causes of brain aneurysms?
Aneurysms develop on the walls of an artery when the brain becomes weak or thin. Sometimes people are born with aneurysms due to a congenital disability. Several other factors that cause aneurysms are:
● Marfan syndrome
● Fibromuscular dysplasia
● Arteriovenous malformation
● Polycystic kidney disease
Diagnosis of Brain Aneurysm
● MRI & CT Scan brain
● Angiogram
● Transcranial Doppler
● Cerebral Angiography
Understanding Brain Aneurysm Surgery in Detail: The Endovascular Coiling Surgery
Before the Surgery
● A comprehensive assessment by a neurosurgeon is required to assess the overall health condition, the nature of the aneurysm, and any potential risks or complications associated with the surgery.
● The medical team will examine your medical background, including any pre-existing diseases, allergies, or prior surgeries.
● You may undergo preoperative blood tests to assess the blood count, clotting capacity, and general health.
● Before surgery, it may be necessary to temporarily stop using or change the dosage of some medications, such as anticoagulants or antiplatelet agents. This lowers the possibility of significant bleeding occurring during the surgery.
● It is crucial to follow the instructions provided by the medical team regarding medication management.
● Before surgery, you may be told to fast for a specific time. This will ensure that you remain empty stomach throughout the procedure, lowering the risk of aspiration and anesthesia-related problems.
● It is advised for patients who smoke to give up smoking before surgery. Smoking can reduce blood flow and raise the possibility of problems.
During the surgery
● This procedure is carried out in the DSA lab under local anesthesia. An expert interventional Radiologist is needed for the aneurysm coiling procedure.
● You’ll be given a hospital gown and asked to remove any clothing, jewelry, or other items at the start of the treatment. Once done, the nurse will ask you to lie backward on the X-ray table.
● Then the intravenous line (IV) tube will be placed inside a vein of your hand or arm. Afterward, an electrocardiogram will be connected to monitor the heart’s electrical activity.
● After cleaning the injection site, mainly the groin, the nurse injects the local anesthesia.
● Then the surgeon will make a small incision to insert a catheter into the artery through the blood vessel. This catheter is guided by fluoroscopy to reach the affected artery in the brain.
● To measure the shape and size of the aneurysm, the surgeon will inject contrast dye in and around the surrounding blood vessels.
● Next, the surgeon inserts a smaller catheter into the central catheter. Once this small catheter reaches the aneurysm, the surgeon inserts the coil until it completely seals off it.
● To seal the aneurysm completely, the interventional Radiologist will insert as many coils as he needs. Within the aneurysm, the coils will form a mesh-like structure that will serve as a support.
● In order to ensure that the aneurysm has been sealed off completely, additional X-ray images will need to be taken following the packing of the aneurysm with coils. As long as the coil remains in place, it will act as a permanent fix for the aneurysm.
● Lastly, after stitching the incision, he will remove the catheter and apply the bandage at the operation site.
After the Surgery
It is crucial to follow specific postoperative guidelines to enhance healing, avoid problems, and assist in a quick recovery after brain aneurysm surgery. Here are some standard postoperative safety measures:
● After surgery, you will be moved to the ICU for intensive observation of vital signs, neurological conditions, and any complications.
● Following the surgery, you are advised to avoid physical work and refrain from intense exercise. This limitation reduces the chances of bleeding, prevents stress on the surgical site, and aids in the healing process.
● After brain aneurysm surgery, some level of pain or discomfort is average. The medical staff will administer a proper pain management plan, including medicines or other methods to lessen pain.
● Proper care is necessary for the incision site in the scalp. You must follow the surgeon’s wound care guidelines and keep the incision area clean and dry.
● The medical staff will provide guidelines for postoperative medications, including painkillers, antibiotics, and any required blood pressure medications.
● After brain aneurysm surgery, scheduling frequent follow-up meetings with the neurosurgeon is critical. During these visits, the medical staff will evaluate your neurological condition, track the healing process, and handle any issues that could come up.
Benefits of Brain Aneurysm Surgery
For patients suffering from brain aneurysms, this surgery has several important advantages. These advantages consist of:
● Brain aneurysm surgery is primarily designed to prevent aneurysm rupture. Aneurysms can rupture, causing life-threatening diseases like stroke or subarachnoid hemorrhage.
● An aneurysm can rupture again and bleed again, causing severe complications. A brain aneurysm surgery fixes the aneurysm and stops further blood flow.
● Headaches, vision problems, and neurological abnormalities can be signs of an unruptured brain aneurysm. The surgery can relieve these problems and enable patients to live a more fulfilling life.
● Improved surgical methods and technology have reduced the risk of problems associated with brain aneurysm surgery.
● Patients who have successfully undergone brain aneurysm surgery have long-term stability.
● A complete recovery is possible depending on the location and size of the aneurysm.
Top Hospitals and Doctors Performing Endovascular Coiling in India
| Hospital | Best Doctor | Cost |
| Max Super Speciality Hospital, New Delhi, (JCI Accreditation) | Dr Himanshu Agarwal, Exp: 15 Years, (Senior Consultant: Interventional Neurology) | 10000$ |
| Indraprastha Apollo Hospital, (JCI Accreditation) | Dr Harsh Rastogi, Exp: 29 Years, (Consultant & Clinical Co-ordinator, Radiology Department) | 9000$ |
| Fortis Memorial Research Institute, Gurugram, (JCI Accreditation) | Dr Vijay Kant Dixit, Exp: 20 Years, (Director of Interventional Neuroradiology) | 9500$ |
How can you avail the best Brain Aneurysm Surgery in India-Step By Step process?
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