Intracranial aneurysm

 

 

Most commonly located on the anterior part of circle of Willis (particularly on anterior or posterior communicating arteries, at the bifurcation of middle cerebral artery and at the bifurcation of internal carotid artery.

 

Forms

 

Most common are saccular .other forms are fusiform, diffuse, globular etc.

 

Clinical features

1.      Asymptomatic

2.      focal neurological deficit

3.      headache

4.      Transitory internal weakness, numbness, tingling, or speech disturbance.

5.      if rupture then loss of consciousness and death

 

diagnosis

CSF examination will show blood stains

EEG =side of hemorrhage

Angiography and CT scan.

 

Management

Surgical by clipping, tigating the neck of the aneurysm.

 

 

Medical

Bed rest

Aminocaproic acid (fibrinolytic) 24 g/day i/v for 3 weeks

Sedatives and analgesics.

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