Brain Aneurysm

by | Jan 10, 2023

The Supreme Vascular and Interventional Clinic offers compassionate and comprehensive care for brain aneurysm. Using state-of-the-art techniques, advanced diagnostics, and personalized approaches, our team is called to care and stand ready to assist you. 

Healthy family in living room

Introduction with Brain Aneurysm Specialist, Dr. Manish Taneja

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. The most serious complication is bursting or rupture of the aneurysm that leads to severe sudden episode of headache and immediate death in up to 20% of affected patients. In the remaining affected population, it leads to serious haemorrhagic stroke that is potentially debilitating.

Ruptured brain aneurysms occur when an unruptured aneurysm bursts, causing bleeding in the brain

What are the Risk Factors for Brain Aneurysm? 

There are not fully understood yet. Some of the known risk factors of cerebral aneurysm include

Read the full brain aneurysm symptoms in our “The Ultimate Guide to Brain Aneurysm” blog post for a rupture and unruptured brain aneurysm. Brain aneurysm can also be dangerous when patients say they experience the worst headache of their lives. 

What Are the Causes of a Brain Aneurysm?

Although the exact causes of a brain aneurysm aren’t always clear, several factors can contribute to the ballooning caused by the weakening of blood vessel walls. Those underlying causes include:

  • high blood pressure, or hypertension
  • a family history of brain aneurysms
  • the age and gender of the patient
  • smoking and drug abuse
  • atherosclerosis—plaque buildup in the arteries
  • in rare cases, head injury or infection of the blood vessel walls

What are the Symptoms of a Brain Aneurysm?

Typically, you will experience symptoms once the blood vessel actually ruptures or becomes large enough to press up against surrounding structures in the brain. However, symptoms will depend on the size of the aneurysm, its location, and whether or not the aneurysm has ruptured.

Unruptured Brain Aneurysm Symptoms Include:

  • Numbness or weakness on one side of the face
  • A drooping eyelid
  • Headache
  • Blurred or double vision
  • Dilated pupil of one eye
  • Pain behind and above one eye

Ruptured Brain Aneurysm Symptoms Include:

  • As in an unruptured brain aneurysm, blurred or double vision
  • A severe, sudden headache, which patients often describe as the “worst headache of their life”
  • Nausea and/or vomiting
  • Stiffness in the neck
  • Extreme sensitivity to light
  • Seizures
  • Loss of consciousness
  • Altered mental state or confusion

Note: If you believe someone displays symptoms of a ruptured brain aneurysm, you must seek medical assistance immediately. Timely diagnosis and treatment can improve the chances of survival and reduce severe complications due to a debilitating stroke, for example.

Knowing the Dangers of a Brain Aneurysm

Dr. Manish Taneja, our brain aneurysm specialist at Supreme Vascular and Interventional Clinic, specializes in minimally invasive procedures for conditions such as brain aneurysm. We offer specialized care, prompt attention, and access to advanced imaging technology and procedures.

Understand brain aneurysms’ potential dangers and taking the first step towards seeking proper medical consultation. Learn more about the health indicators and afflictions to defuse this silent, dangerous ticking time bomb. Fortunately, there are minimally invasive treatment options to manage this condition effectively.

Understanding Brain Aneurysms

Brain aneurysms, simply put, are weak spots in the walls of blood vessels in your brain. These weak areas can balloon out and potentially rupture, leading to serious complications. While the exact causes are still being studied, factors like high blood pressure, smoking, and family history can increase the risk.

The Ultimate Guide to Brain Aneurysm post can help you learn about the causes, symptoms, and treatments for this potentially life-threatening condition.

Consult a Seasoned Brain Aneurysm Specialist

Finding the right doctor is key to your journey towards treatment and recovery. Dr. Manish Taneja has treated thousands of patients and treated brain aneurysms ranging from one milimeter to four centimeters. He has treated a range of ages from the young up to the average age for brain aneurysms of around 35 to 60. Unfortunately, no one can predict a brain aneurysm and also the young and fit are at risk. A brain aneurysm rupture can even cause a young to pass away in their sleep. Stay informed about treatment options and receive a recommended course of action with a seasoned brain aneurysm specialist who can give you a clearer picture of what lies ahead.

Walking Time Bombs

With limited data in Singapore, Dr. Manish Taneja estimates that one in 100 people in the general community experience the condition in their lifetime. Brain aneurysms can go unnoticed or undetected – until it is too late. It’s when the brain aneurym ruptures, the results are grim.  It’s a less talked about condition and one of the reasons we don’t hear much about it is because brain aneurysm is often overlooked by heart disease, ischemic stroke, or breast cancer.

Knowing risk factors for a brain aneurysm is the first step in early detection and treatment:

  • Worst headache in life
  • Sudden sensitivity to light
  • Sudden stiffness of neck
  • Sudden sharp pain behind or above one eye
  • Sudden blurred or double vision
  • Sudden numbness and tingling in facial area
  • Sudden loss of consciousness.
  • Sudden confusion or change of mental status.
  • Seizure
  • Perceived “gun shot” noise or extremely loud “BOOM.”
  • Drooping eyelid, nausea and vomiting

It’s important to understand the potential dangers of brain aneurysms. A ruptured aneurysm can cause severe bleeding in the brain, leading to a stroke or even death. Even untreated aneurysms can have long-term effects on your health. That’s why regular follow-up care and monitoring are crucial to managing this condition effectively.

Latest technologically advanced interventional techniques enable doctors to treat nearly all types of brain aneurysms without resorting to open surgery. They offer several benefits, including shorter recovery time and reduced risk of complications. In some cases, stenting may be combined with coiling. A stent is a small metal mesh tube placed within the blood vessel to provide structural support and reduce the risk of coil migration.

It is a minimally invasive procedure that can be done within two hours and patients can expect to be discharged after one night’s stay. Dr. Manish Taneja further explains.

“The device will be inserted via the groin together with small catheters to reach the brain. These small tubes are navigated up through blood vessels to where the aneurysm is; with constant monitoring via imaging. Once the flow diverter reaches the location of the aneurysm, it would be placed across the neck of the aneurysm, effectively blocking blood flow from going into the it while preserving normal blood flow in other branches to the brain.

The procedure’s risks – such as stroke – ranged from five to six percent when it was first introduced. However, today, the experience of the procedure has improved so much the risks have lowered to less than two percent.

The beauty of the procedure is that multiple aneurysms can be treated in one session. I would say that up to 30% of patients would have more than one aneurysm.”

It is important to note that the suitability of the procedure depends on various factors, including the size, location, and shape of the aneurysm as each case is unique.

Can a Brain Aneurysm Happen Again?

“This varies from one patient to another and I’ve treated this patient six times for different aneurysms in the past few decades. When I first met her, she was in her 30s. A decade later two more aneurysms popped up before another one appeared again. Now, she’s 62 and doing well.” – Dr. Manish Taneja

Discover brain aneurysm treatment options at the Supreme Vascular and Interventional Clinic and make informed decisions about surgery, endovascular procedures, or ongoing monitoring.

In conclusion, understanding brain aneurysms and seeking proper consultation are vital steps in managing this condition. Remember, you’re not alone in this journey. Take charge of your health and explore treatment options. If you’re ready to take the next step, we invite you to arrange an appointment.

Brain Aneurysm Causes & Risk Factors

You were born with some causes and risk factors while others can be changed.

How Do We Diagnose a Brain Aneurysm?

Simple CT scan with dye injected in the arm or MRI scan without dye injection in the arm is all that is needed to diagnose a brain aneurysm and plan treatment.

Treatment Options

We provide care and treatments at our specialized brain aneurysm clinic at Supreme Vascular and Interventional Clinic in Singapore.

Brain aneurysm is a weak or thin spot on an artery in the brain that balloons or bulges out and fills with blood. The bulging aneurysm can put increased pressure on the nerves or brain tissue. It may also burst or rupture, spilling blood into the surrounding tissue (called a hemorrhage). Brain aneurysm is a fully treatable and curable condition. The best time to treat is before it ruptures. Traditional treatment method of open surgery called clipping is largely replaced in majority of patients with minimally invasive endovascular technique called coiling. This technique involves a 5 mm incision in the groin or wrist to get into a blood vessel. Through this, multiple small tubes called catheters and wires are advanced into the brain and the aneurysm is completely blocked from inside. No open surgery to skull is required with quicker treatment and recovery.

Find the Right Doctor

From family and internal medicine to specialist, Dr. Manish Taneja is the best in the field.

He is an expert in endovascular and image guided neurointerventional procedures of brain and spine. He has special interest in treatment of brain aneurysms, stroke and vascular malformations.

Dr. Manish Taneja also has extensive experience in performing all vascular interventions, non-vascular interventions and interventional oncology procedures.

What is the Latest in Treating Brain Aneurysms?

  • Majority of patients are able to walk home within 1-2 days of treatment of an elective un-ruptured brain aneurysm.
  • There are newer technologies available for treating brain aneurysms. These enable us to treat almost all types of brain aneurysms using interventional techniques without resorting to open surgery. These include advanced techniques of balloon assisted coiling /stent assisted coiling/other bridging devices assisted coiling
  • Flow diverters: these are stent type devices that are placed across the neck of the aneurysm enabling gradual occlusion of the aneurysms while preserving flow in normal branches to the brain. These devices are extremely useful in treating all types of aneurysms including those with complex and challenging anatomy
  • Intrasaccular occlusion device (like webdevice/ contour device)

Treatment depends on the size and location, also whether the aneurysm has ruptured. Read more about newer technologies such as brain coiling and stent as well as the risks and alternative procedures including surgical clipping. As with all surgical treatments, there is a risk of treatment as these are serious conditions. The risk depends on the size, type, and location of the aneurysm. Overall, the risk is extremely low at 1-2%. This would be best discussed with a professional brain aneurysm specialist depending on underlying conditions. 

Read More About Brain Aneurysm on Our Blog

As a specialized brain aneurysm clinic, read our recommended brain aneurysm related blog posts to stay informed about treatment options and how we can actively participate in your care.

    The Ultimate Guide to Brain Aneurysm

    Watch our video guide from our “The Ultimate Guide to Brain Aneurysm” blog post to understand the causes, symptoms, detection, diagnosis, and treatment options.

    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.

    Arrange Your Appointment

    Consult Neurointervention Specialist, Dr. Manish Taneja

    Other Health Conditions

    The Supreme Vascular and Interventional Clinic is your “go-to” facility for various neurological conditions and pain management. To arrange an appointment with Dr. Manish Taneja, our neurointervention specialist, contact us. You can also call us at (+65) 6904 8084 for a consultation.