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Cerebral Aneurysm

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What is Cerebral Aneurysm

Cerebral aneurysms represent a critical neurovascular condition characterized by weakened arterial walls, leading to abnormal bulging and posing a significant risk of rupture and potentially fatal hemorrhage. Aneurysms are usually found at the base of the brain just inside the skull, in an area called the subarachnoid space. In fact, 90 percent of SAHs are attributed to ruptured cerebral aneurysms and the two terms are often used synonymously.

Under the expert care of Dr. Santosh B. Patil, patients benefit from a comprehensive range of advanced interventions tailored to manage cerebral aneurysms effectively.
Symptoms

Symptoms of Cerebral Aneurysm

Low-Res_headache.jpg
The symptoms of a Cerebral aneurysm include the following:
  • Headaches & Eye Pain
  • Vision changes
  • Diminished eye movement
  • Stiff neck
  • Nausea and vomiting
  • Changes in mental status, such as drowsiness
  • High blood pressure

We provide comprehensive range of advanced interventions to manage cerebral aneurysms effectively which reduces the risk of rupture and rebleeding.

Treatment

Cerebral Aneurysm

Cerebral Aneurysm

Endovascular Coiling

Dr. Santosh Patil employs endovascular coiling, a minimally invasive technique, to treat cerebral aneurysms. This procedure involves navigating a catheter through the blood vessels to the site of the aneurysm, where detachable coils are inserted. These coils induce clot formation within the aneurysm, promoting its occlusion and reducing the risk of rupture.
Cerebral Aneurysm

Balloon Remodeling

In cases where an aneurysm presents challenges due to its shape or location, Dr. Patil may utilize balloon remodeling techniques. This involves temporarily inflating a small balloon within the aneurysm to reshape the vessel and facilitate more effective coil placement, ensuring optimal occlusion and long-term stability.
ballon-remodelling
Cerebral Aneurysm

Integrated Neurovascular Unit for Acute Subarachnoid Hemorrhage

Dr. Santosh Patil's practice features an integrated neurovascular unit dedicated to the management of acute subarachnoid hemorrhage (SAH), a life-threatening condition often resulting from the rupture of cerebral aneurysms. This specialized unit ensures prompt and comprehensive care for SAH patients, encompassing early diagnosis, aggressive management of cerebral vasospasm, and timely intervention to prevent rebleeding and mitigate neurological sequelae.
vasona
Cerebral Aneurysm

Cerebral Vasospasm Management

Cerebral vasospasm is a common complication following SAH, characterized by the narrowing of cerebral blood vessels and subsequent ischemia, which can lead to delayed neurological deficits and poor outcomes. Dr. Patil offers specialized interventions for the management of cerebral vasospasm, including:
Cerebral Aneurysm

Intra-Arterial Chemical Vasodilatation

Dr. Patil utilizes intra-arterial infusion of vasodilators, such as nimodipine or verapamil, directly into the affected blood vessels to induce relaxation of vascular smooth muscle and alleviate vasospasm. This targeted approach ensures maximal vasodilatory effect while minimizing systemic side effects, thereby improving cerebral perfusion and mitigating the risk of ischemic injury.
normal blood vessel and widening blood vessels, Vasodilation, also known as vasorelaxation, is the widening of blood vessels 3d rendering
Cerebral Aneurysm

Flow Diverter Stenting

Flow diverter stenting involves the placement of a mesh-like device across the neck of the aneurysm. This device alters blood flow within the aneurysm, promoting thrombosis and eventual occlusion while preserving normal vessel patency. It provides a long-term solution for large or complex aneurysms by redirecting blood flow away from the weakened vessel wall, reducing the risk of rupture.
Cerebral Aneurysm

Stent-Assisted Coiling

Stent-assisted coiling combines traditional endovascular coiling with the placement of a stent within the aneurysm. The stent provides structural support and helps to retain the coils within the aneurysm, promoting thrombosis and preventing recurrence.
Cerebral Aneurysm

Web Device

The web device is a self-expanding, braided mesh deployed within the aneurysm sac. It disrupts blood flow into the aneurysm, promoting thrombosis and eventual occlusion while preserving parent vessel patency. This minimally invasive approach offers a viable alternative for treating wide-necked or complex aneurysms.
Web-Device-in-cerebral-Aneurysm
Cerebral Aneurysm

Contour Device

The contour device is a flexible, three-dimensional mesh implanted within the aneurysm. It conforms to the shape of the aneurysm sac, promoting thrombosis and occlusion while maintaining flow within the parent vessel. This innovative technology provides a tailored solution for treating challenging aneurysm morphologies while minimizing the risk of complications

By offering a comprehensive suite of interventions for both cerebral aneurysm management and cerebral vasospasm, Dr. Santosh B. Patil demonstrates his commitment to providing patients with the highest standard of care, leveraging innovative techniques to optimize outcomes and enhance quality of life for individuals affected by these challenging neurovascular conditions.

FAQ's

Frequently Asked Questions

Symptoms may include severe headaches, vision changes, numbness or weakness on one side of the face or body, and difficulty speaking or understanding speech.

Treatment depends on factors such as the size and location of the aneurysm, the patient’s overall health, and the risk of rupture. Options may include observation, endovascular coiling, clipping, or flow diversion.

Endovascular coiling involves inserting a catheter into the blood vessels and placing detachable coils within the aneurysm to promote clotting and reduce the risk of rupture. Surgical clipping involves placing a metal clip at the base of the aneurysm to prevent blood flow into it.

Risks may include bleeding, infection, stroke, or complications related to anesthesia. However, the benefits of treatment often outweigh the risks, especially in cases where the aneurysm poses a high risk of rupture.

The long-term prognosis depends on factors such as the size and location of the aneurysm, the effectiveness of treatment, and the presence of any complications. With appropriate treatment and follow-up care, many patients can lead fulfilling lives with reduced risk of aneurysm rupture.

Lifestyle changes such as maintaining a healthy diet, exercising regularly, managing stress, avoiding smoking, and controlling high blood pressure can help reduce the risk of developing or rupturing cerebral aneurysms. Additionally, seeking prompt treatment for conditions such as polycystic kidney disease or connective tissue disorders may also be beneficial.

Expert IR Neuro Vascular Clinic | Endovascular Neuro Surgeon in Pune

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