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Generation Z and Millenial Patients with Brain Aneurysm

If I could give one important tip it would be to be aware of stroke. Stroke is a common condition that can affect anyone at any age group. Prevention is key.

Dr. Manish Taneja

Neurointervention Specialist, Supreme Vascular and Interventional Clinic

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Commonly Asked Questions About Brain Aneurysm

The mention of a brain aneurysm can be scary, but advancements in modern medicine have significantly improved its diagnosis and treatment. Thanks to the expertise of skilled brain surgeons and rapidly evolving technology, conditions related to the brain, including aneurysms, can be diagnosed accurately and managed effectively, resulting in optimal health. According to SingHealth, one person gets a stroke every hour in Singapore. If you look at risk factors for stroke, stroke is a fairly common condition.

Stroke and brain aneurysms is becoming increasingly prevalent among the youth as well and more younger females experience additional symptoms such as headaches from their late teens to their 20s. Normal headaches like migraine are common but there can be severe headaches which can be different and serve as warning signs. The Ultimate Guide to Brain Aneurysm post can help you learn about the causes, symptoms, and treatments for this potentially life-threatening condition.

Here are some commonly asked questions to gain a deeper understanding of what a brain aneurysm entails, how it is treated by brain surgeons and what to expect.

At our specialized brain aneurysm clinic in Singapore, we provide brain aneurysm care and treatment options at Supreme Vascular and Interventional Clinic. Our neurointervention specialist, Dr. Manish Taneja from the Supreme Vascular and Interventional Clinic, answers these questions asked from our patients about stroke and brain aneurysms.

1: How has the Prevalence of Stroke Evolved in Singapore?

I have been practicing medicine since 1995, specifically in the field of stroke treatment. Over the years, I have seen significant changes and advancements in the way we approach stroke care. Initially, strokes were thought to primarily affect individuals in the 70-90 age range, but as time passed, we began to see younger patients affected by this condition as well. In fact, just recently in 2021, I treated a 6-month-old baby with stroke. It is important to note that strokes can affect anyone, not just the elderly. While the major age group affected is still typically those in their 60s-80s, we have been seeing a fair number of younger patients in recent years.

Understand more about stroke on our blog post, “Stroke: Causes, Symptoms, Diagnosis, and Treatment.” 

2: Does Gender, Sex, Physical Height Affect and Increase Your Chances of Stroke Risk?

As a practitioner, I have become quite familiar with the demographics of stroke patients. Typically, in the younger age group of 30s-40s, females are more dominant. However, strokes come in different types, and we often see younger females in their late 30s and early 40s affected by aneurysms or other uncommon vascular conditions. On the other hand, in the older age group, men in their 60s-70s are often affected, with the common age group being 75+. It’s important to note that aneurysms are still fairly common in young people.

The prevalence of stroke can be impacted by lifestyle factors such as exercise habits and overall fitness levels. Those with higher risk factors, including high blood pressure, poorly controlled cholesterol, lack of exercise, obesity, and smoking, are more likely to experience stroke. Even in the late 40s, some side effects related to stroke can become apparent. It’s clear that stroke is a fairly common condition that affects people across various age groups, and understanding the demographics and risk factors can help in prevention and effective treatment.

3: Do you Find that There is an Increase in Stroke the Pandemic and Work from Home Conditions?

While some may discuss the relationship between both, the truth is that it’s more about awareness, lifestyle, and how we live our lives.

4: Do Younger Patients Experience Symptoms like Headaches and Neck Pains that Lead to Stroke?

Younger patients may experience additional symptoms such as headaches and neck pains, which can be concerning for stroke. While it is common for females in their late teens and 20s to experience normal headaches like migraines, severe headaches that are different from their usual headache patterns can be warning signs of something more serious. Severe neck pain and stiffness can also indicate a precursor to stroke.

Fortunately, screening for these warning signs has become easier and more accessible with information readily available. Although this was not always the case, people are now more aware and able to recognize when their headaches or neck pains are severe or different from what they typically experience. It is recommended that people check in on their symptoms on a regular basis, perhaps every few months, to catch any warning signs early and seek appropriate medical attention. Learn more about headaches on our blog post, “Headache: Types, Causes, Symptoms, and Treatment“.

5: What Other Warning Signs Should We Look Out for in Ourselves and Other People?

When it comes to stroke, weakness, difficulty talking, and speech issues are commonly known symptoms. In addition, abnormal facial grouping, arm weakness, speech issues, severe headaches, dizziness, balance issues, and difficulty standing up from a chair are also common indicators of stroke.

These symptoms occur due to a lack of blood flow to the brain, which can cause brain cells to die, leading to permanent brain damage or even death. It’s important to recognize these symptoms early and seek medical attention immediately. The faster medical help is sought, the better the chances of minimizing the damage caused by the stroke. Knowing the signs and symptoms of stroke is essential in order to prevent or reduce the effects of a stroke. 

6: What is a Severe Headache?

The nature of headaches, the type of headaches, and the difference in pattern and intensity can determine whether it’s just a nagging pain or something more serious, such as a sharp shooting pain that is difficult to tolerate. Learn about the specific types of brain aneurysm headaches caused by the rupture or leakage in the blood vessel of the brain.

7: What is the Screening Process Like?

When it comes to stroke, the first step is to seek a consultation. Unlike heart diseases, which have a very set pattern, the brain is much more complex, and strokes can be very complicated as they vary between individuals. There are different patterns of stroke, which require structured screening to determine the type and severity of the stroke.

Some people may have a blood test and think that they are fine, but family history can indicate something different. In these cases, an MRI scan (which does not involve radiation or injections) may be necessary to get a clear picture of the situation. After an hour-long consultation, patients will have a much better understanding of what’s been going on and what steps they need to take in the future. It’s also worth noting that strokes can run in families, so there may be a genetic component to some cases.

8: Why is Stroke Becoming Prevalent Among Women Especially in the Younger Demographics?

While it is more common for younger females to experience strokes due to aneurysms or uncommon vascular conditions, males can also suffer from strokes. However, the pattern of stroke in males tends to be more related to blockages in the blood vessels in the brain, which can be due to congenital factors or years of smoking.

The two main types of strokes are blockage vessel and rupture in the brain, and young people can experience both or either of them. Therefore, strokes can occur in both males and females and can have different causes and patterns. Find out more in our article, “How Brain Aneurysms Affect Stroke Risk“, on how a brain aneurysm can affect stroke risk leading to to a type of stroke called a hemorrhagic stroke.

9: What Exactly is Numbness in the Leg or Arm?

These are symptoms of overlapping conditions such as pinching of a nerve of the neck or it can be a stroke onset. There are certain patterns. For example if you have numbness of leg or arm on the same side, that is something related to the brain. Each patient is different and what should we do in the event we suspect we might have a stroke or loved ones around us, it is most best to get it checked.

10:  Do You Encounter People Who Have Stroke for a Few Days Before Seeking Help? 

It is important to pay attention to persistent symptoms, even if they seem minor, as they could be indicative of a serious underlying condition. One of my patients was a 33 year old woman who had been experiencing headaches for 8 days but had not sought medical attention. When she finally did seek help, it was discovered that she had an aneurysm, which required surgery and a one-month hospital stay. While it is true that females can be quite resilient, it is crucial to not overlook symptoms that may require medical attention, regardless of gender or age. Taking prompt action can potentially prevent serious complications and lead to a better outcome.

11:  What Should I Do if I Feel I am Experiencing the Onset of a Stroke?

In the event of a suspected stroke, it is crucial to call an ambulance instead of driving or taking a taxi to reach the nearest medical facility as soon as possible. Once at the medical facility, it is essential to provide an accurate history of what has been going on so that the medical staff can offer the best possible management. This will include details such as when the symptoms started, what symptoms have been experienced, and if there are any relevant medical conditions or medications. By providing this information, the medical staff can make a more informed diagnosis and offer the best course of treatment. A decision can be made within half an hour. All you have to do is show up and you will be well taken care of. 

In my 25 years of experience working in the medical field, I strongly advise that getting treatment for stroke is crucial. Stroke can be debilitating and once the damage is done, it can be very difficult to recover fully. Therefore, it’s essential to prevent a stroke from happening by controlling risk factors and seeking early treatment. If there are concerns about stroke, it’s best not to delay seeking medical help. Many people tend to brush off symptoms or feel like it may not be a stroke, but it’s always better to err on the side of caution. If you experience any symptoms of stroke, call 995 immediately and seek help. Read about our first part of the top 10 brain aneurysm questions answered by neurologists worldwide and some additional questions you may want to ask your doctor. 

Our brain aneurysm clinic in Singapore provides personalized treatment plans to optimize your brain health outcomes for neurological conditions and pain management. To arrange an appointment with Dr. Manish Taneja, our neurointervention specialist, connect with us.

 

Supreme Vascular and Interventional Clinic Treatments

There are more several types of neurointerventional treatments we offer to treat different problems including brain aneurysm. Swipe to learn more.

Brain Aneurysm

Brain aneurysm is bulging or ballooning of a blood vessel supplying the brain. Brain aneurysms are present in 1 to 2% of population. The commonest age group affected is 40-60 years.

Brain aneurysms can cause non-specific neurological symptoms such as headaches, double vision, and more.

What is Neurointerventional Treatment?

Neurointerventional treatments are performed to treat different problems that occur in the brain, spine, head, and neck. Neurointerventionalists use small instruments and catheters to go through blood vessels in your body to reach the affected area. This is done with the help of advanced imaging technology like CT and MRI scans to ensure precise treatment.

Introduction to Brain AVM

Brain arteriovenous malformation (AVM) is an uncommon condition that is due to abnormal connection between arteries and veins in the brain substance. Almost 60% patients diagnosed with this condition are below 40 years of age.

There are different types, grades and location of AVM in the brain. The symptoms that patients present with depend on these above factors.

Stroke Management and Prevention

Stroke is one of the most common conditions causing death worldwide. There is high incidence of permanent brain damage severely affecting quality of life in affected patients. It can be a devastating event both for patient and the family.

The best way to treat a stroke is to prevent stroke. There are well known causes of stroke such as high blood pressure, high cholesterol level, poor controlled diabetes and smoking.

Stroke Screening

Stroke is one of the leading causes of death worldwide. It is also the leading cause of long term disability with debilitating and devastating consequences for both patients and family. One of the most recognizable outcomes of stroke is paralysis affecting a part or half of the body.

There are different types, grades and location of AVM in the brain. The symptoms that patients present with depend on these above factors.

Carotid Stenting

Carotid artery is the artery in the neck supplying blood to the brain from the heart. Atherosclerosis of the carotid artery is responsible for causing stroke in about 20% of all patients with stroke worldwide.

Atheromatous deposits and plaques cause blockage of blood supply to the brain in high risk individuals. 

Intracranial Stenting

Intracranial Stenting is a less commonly known technique to treat stroke or prevent stroke. Blockage of blood vessels to the brain is a common cause of stroke in Asian population affecting up to 25% of patients presenting with acute stroke or transient ischemic attack (TIA) which is a precursor of stroke.

Acute stroke is a “brain attack” and there are two main causes, a blocked artery or leaking or bursting of a blood vessel.

Head and Neck Vascular Malformations

Vascular malformations are a complex spectrum of conditions with commonly used names being venous malformation, arteriovenous malformation, arteriovenous fistula, lymphatic malformation, hemangioma, lymphangioma.

Vascular malformation is an abnormal collection of blood vessels that can occur anywhere in the body. 

Headache

Headache is a very common condition that affects virtually everyone. Some individuals have more debilitating headaches than the others severely affecting their quality of life.

The two commonest type of headaches seen in clinical practice are migraine and tension headache. There are other causes of headache that may be caused by underlying structural issues in the brain or by other physiological issues affecting the structures of the brain.

Read More About Neurointerventional Treatments on Our Blog

To dive deeper into the types of neurointerventional treatments, head over to our clinic’s blog.

Read our recommended neurointerventional treatments related blog posts to stay informed. What is a brain aneurysm? Watch our helpful video to learn brain aneurysm causes,  symptoms, treatment options, and more. 

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Brain Aneurysm Resources

Discover brain aneurysm resources that go beyond the basics designed for patients. Understand the meaning of  a brain aneurysm condition, the causes, symptoms, signs, and more. Connect with your brain health.

Put Brain Aneurysm on Your Health Radar

Did you experience the worst headache of your life? Could it be a brain aneurysm that ruptures, which means bleeding in the brain? Thoughts could be racing through your mind. Then what is the difference between unruptured (a weak or thin spot on an artery in the brain that balloons) or ruptured brain aneurysm? If you’re wondering, then the Supreme Vascular and Interventional Clinic is here to help. It’s important to look out for the tell-tale brain aneurysm symptoms, signs, causes, and risk factors.

Dr. Manish Taneja has been performing brain aneurysm treatments since 1995 from surgical clipping to latest minimally invasive procedures. Each patient is unique as is the size and location of the aneurysm. Your brain has different conditions to treat the aneurysm and artery vessel walls of a blood vessel in the brain. This calls for personalised brain aneurysm treatment depending on your symptoms, family, history, medication, and more. A simple CT scan could be just what the doctor ordered and the first step in early detection and prevention of a brain aneurysm. Come in for an easy consultation with our brain aneurysm specialist in Singapore to be on your health radar.

The Supreme Vascular and Interventional Clinic is your “go-to” facility for various neurological conditions and treatments. We invite you to consult with Dr. Manish Taneja, our neurointervention specialist. You can also call us at (+65) 6904 8084 for a consultation.