Treatments for a brain aneurysm primarily focus on reducing the risk of a rupture or preventing repeated ruptures. The specific intervention chosen depends on a number of considerations such as the patient’s age and overall health, what symptoms are present, the size and location of the aneurysm, and the patient’s own preferences. Surgery is often the prescribed course of action, but if the brain aneurysm is small and producing no symptoms, or surgery poses too great a risk due to the location of the aneurysm, the strategy may be careful, ongoing monitoring of the condition.
Doctors have two main surgical treatment options for a brain aneurysm: surgical clipping and endovascular coiling, both procedures performed at the Florida Hospital for Neuroscience.
Surgical clipping, also called an open craniotomy, involves removing a section of the skull to expose the aneurysm. A metal clip is placed on the neck of the aneurysm cutting off blood flow and preventing bleeding. The procedure normally eliminates the aneurysm completely.
In endovascular coiling, also known as coil embolization, soft platinum coils are inserted into the aneurysm using a catheter inserted in the arteries. The coils cause blood in the aneurysm to clot to prevent a rupture. A patient may require this surgery multiple times.
Restricted activity, usually confinement to bed, is required until bleeding stops. Medications may be used to treat other problems such as to prevent seizures, control headaches, reduce blood pressure and prevent of fight infection.