Brain Aneurysm

A brain aneurysm is a bulge or ballooning in a blood vessel in the brain. An aneurysm often looks like a berry hanging on a stem.

Signs and symptoms

• Nausea and vomiting
• Stiff neck
• Blurred or double vision
• Sensitivity to light
• Seizure
• A drooping eyelid
• Loss of consciousness
• Confusion

Diagnosis

CT-Scan, X-ray, MRI, Cerebral angiogram

Extended release

Acetaminophen (Tylenol)2 cap 1300mg oral every 8 hours

Immediate release

325mg to 1g oral every 4-6 hours

Nimodipine (nimotop) 2 cap (each 30mg)

Lisinopril (Zestril) 5mg OD ≥ 50kg and 2.5mg OD ≤ 50kg

Surgery (surgical clipping of aneurysm)

Endovascular treatment (insert a catheter into an artery through wrist and groin up into the artery containing aneurysm)

Flow diverter newer treatment (tubular stent like implant divert a blood flow away from aneurysm sac)

Speech and occupational therapy

Ventricular or lumbar draining catheters and shunt surgery