Aneurysm

An aneurysm is a potentially life-threatening condition characterized by the abnormal bulging or ballooning of a blood vessel due to a weak spot in the vessel wall. If left untreated, aneurysms can rupture, leading to severe internal bleeding and other critical health complications. The most common types of aneurysms are found in the brain (cerebral aneurysms) and the aorta (aortic aneurysms).

Aneurysm Surgery In Gurgaon

When it comes to aneurysm surgery in Gurgaon, Dr. Aditya Gupta stands out as a leading expert in the field. With years of extensive training and experience, Dr. Gupta is renowned for his expertise in neurosurgery, particularly in the treatment of cerebral aneurysms. His commitment to patient care, advanced surgical techniques, and cutting-edge technology ensures the highest standards of medical treatment.

What are Intracranial Aneurysms?

Intracranial aneurysms are localized pathological dilatations of cerebral arteries. Most intracranial aneurysms are saccular or berry aneurysms, whereas dissecting, fusiform, infectious, traumatic, and oncotic aneurysms are much rarer.

Saccular, or berry aneurysms, correspond to lobulated focal outpouchings of the wall of the arteries of the circle of Willis. Current opinions suppose that intracranial aneurysms result from a combination of hemodynamic stresses and acquired degenerative changes within the arterial wall

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What Does an Aneurysm Look Like

Aneurysms may present as:
  • Rupture of the fragile wall of such aneurysms mostly causes subarachnoid haemorrhage (SAH), which patients describe as “the worst headache of their life.”
  • The mass effect causes cranial nerve problems.
  • Asymptomatic, discovered unintentionally during imaging for other purposes.
  • It is estimated that around 3% to 5% of the population has an intracranial aneurysm.
  • Subarachnoid haemorrhage induced by the rupture of an intracranial aneurysm accounts for one out of every twenty strokes.
  • Because the disease hits at a young age and is frequently deadly, the loss of productive life years is comparable to that of a cerebral infarction or intracranial haemorrhage

Complications Of SAH

Many people do not survive the first bleed or get substantial brain impairment as a result of it. Those who survive have a significant risk of recurrent bleeding, which can be deadly in 70-80% of instances. Even if the aneurysm is repaired before rebleeding, 15% of patients who survive the initial haemorrhage have ischemic strokes or die as a result of cerebral vasospasm. Non-neurological complications are common in people with SAH.

 

These include fever, anaemia, hypertension and hypotension, hyperglycemia, hypernatremia/hyponatremia, hypomagnesaemia, heart failure and arrhythmias, as well as pulmonary oedema and pneumonia. As a result, these patients require intense care management to avoid and treat such complications

Pituitary Adenoma Tumor:

  • In cases of suspected SAH, a CT scan should be conducted. However, CT can be negative in rare circumstances, especially if performed many days after the occurrence.
  • Although MR is highly sensitive when conducted correctly and evaluated by a competent radiologist, SAH is commonly overlooked.
  • Patients with SAH should undergo selective cerebral angiography to identify aneurysms and their anatomical characteristics.
  • When traditional angiography cannot be conducted in a timely manner, MR or CT angiography may be used instead.

What Are The Management Recommendations

SAH is a medical emergency that is commonly misdiagnosed. In individuals with an acute onset of severe headache, there should be a strong suspicion of SAH. Patients with SAH should be handled in the ICU with adequate neuroanesthetic support from the AVM Surgeon in Gurgaon. To avoid repeated bleeding, aneurysms should be treated early on.

Surgery (Clipping) V/s Embolization (Coiling)

Aneurysm Surgery in Gurgaon has been the traditional means of treating aneurysms. The aneurysm, parent vessel(s), and surrounding structures are all exposed directly during Aneurysm Surgery in Gurgaon. The aneurysm is then secured with a silver clip placed along the neck, restricting it from circulation. Surgery has the disadvantage of being intrusive and causing harm to the normal brain parenchyma

Another therapeutic option by Artemis’ AVM Surgeon in Gurgaon is endovascular embolization (coiling) of aneurysms. In this procedure, a microcatheter is inserted into the aneurysm via one of the leg arteries and blocked with coils (typically detachable platinum coils) to prevent further bleeding. Advantages: Because coiling is a less invasive method, it is less likely to cause brain parenchymal harm.

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Why Choose Dr. Aditya Gupta?

  • World-Class Expertise: Dr. Gupta brings a wealth of knowledge and experience to the table, making him one of the most sought-after neurosurgeons in Gurgaon.
  • Advanced Surgical Techniques: Utilizing the latest advancements in medical technology, Dr. Gupta performs minimally invasive procedures that reduce recovery time and improve patient outcomes.
  • Comprehensive Patient Care: From initial diagnosis to post-operative care, Dr. Gupta and his dedicated team provide a holistic approach to ensure the well-being of every patient.
  • State-of-the-Art Facilities: The facilities in Gurgaon where Dr. Gupta practices are equipped with modern medical equipment, ensuring the highest level of care and precision during surgery.

For those seeking expert aneurysm surgery in Gurgaon, Dr. Aditya Gupta offers the highest level of care and surgical excellence.