Suddenly having a headache and vomiting a lot, the woman almost burst a brain aneurysm

If a cerebral aneurysm ruptures, it will lead to a stroke and bleeding in the brain, causing dangerous consequences, the patient can be disabled or die.
Patient NTK (67 years old, in Thanh Ba, Phu Tho) has a history of hypertension and is maintaining medication. 4 hours before entering the hospital, the patient suddenly had a mental disorder, headache, and vomited a lot, and was taken to the district medical center by his family. After a CT scan showed images of meningeal bleeding, the patient was transferred to the Stroke Center, Phu Tho Provincial General Hospital.

Here, the doctors examined the CT angiogram of the brain and determined that the patient had a meningeal hemorrhage due to an aneurysm at the end of the left internal carotid artery with acute ventricular dilatation (an early, rare complication of cerebral palsy). meningeal hemorrhage).

The patient was diagnosed with “Meningeal hemorrhage due to rupture of left internal carotid aneurysm Fisher 2 Hunt-Hess 3 – Acute ventricular dilatation on background of hypertension”.

The Stroke Center’s neurovascular intervention team consulted with the neurosurgery department and gave instructions for coil intervention to treat the patient’s cerebral aneurysm, and at the same time prepared a drainage plan. ventricles if ventricular dilatation increases.

Doctor Nguyen Anh Minh – Department of Emergency & Intensive Treatment, Stroke Center said: “When angiography of the patient’s brain was performed, we determined that this was a quite complicated cerebral aneurysm, a large aneurysm. 4×3 cm in size, 3mm neck, with a posterior communicating artery originating on the neck of the aneurysm. Interventional doctors had a professional consultation, with the goal of trying to close the aneurysm, but also ensuring the preservation of the branch. Vessels originate from the neck of the sac.

The results of a CT scan re-examining the skull area after intervention showed that the condition of ventricular dilation had improved well. After 3 days, the patient’s health recovered well, the patient was alert, had good contact, and could move his arms and legs almost normally.

According to BS. Minh, a cerebral aneurysm is a phenomenon in which blood vessels in the brain swell or swell, often occurring in areas where the vessel walls are weak. Risk factors that increase the likelihood of brain aneurysm include: High blood pressure, smoking, alcoholism, substance abuse, infection, and trauma.

Most unruptured aneurysms have very poor symptoms such as persistent headaches; If the enlargement compresses the nerves, there may be other symptoms such as blurred vision, drooping eyelids, weakness or hemiplegia, but people often forget those symptoms.

“When the aneurysm ruptures, the risk of death is high. Most cases only discover at this stage that they have a cerebral aneurysm. Symptoms can include decreased consciousness, severe headaches, and nausea. , vomiting, neck pain, stiff neck, convulsions… at this time, treatment is also very difficult, can leave the patient with serious sequelae, even death”, Dr. Clear information.

Doctors also recommend that people, especially those with persistent headache symptoms, should have regular health checks and perform brain imaging with angiography (such as MRI, CT computed tomography). to check whether there is a cerebral aneurysm or cerebral vascular malformation.

With the motto that prevention is better than cure, early detection of cerebral aneurysms and early treatment plans will help reduce death rates, as well as disability for patients

Josefina Greenholt

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