Medical expert of the article

Neurosurgeon, neurooncologist

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Arterial aneurysms of cerebral vessels

Alexey Portnov, medical expert
Last reviewed: 23.04.2024

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Symptoms
Forms

Treatment
Who to contact?

Aneurysm - a local dilatation of the artery lumen as a result of changes or damage to its walls. Most often, brain aneurysms are a disease of the arterial tees of the Willis polygon.

trusted-source [1], [2], [3], [4], [5], [6]

Symptoms of the arterial aneurysms of the brain

Dogemorrhagic period (asymptomatic or asymptomatic course, less often tumorous-like course with large aneurysm size).
Hemorrhagic period (clinic of hemorrhagic stroke mainly as a subarachnoid hemorrhage).

trusted-source [7], [8], [9], [10], [11]

Forms

Bifurcation-hemodynamic aneurysms (so-called congenital):
- Bifurcation-hemodynamic aneurysms in systemic arterial hypertension;
- Bifurcation-hemodynamic aneurysms in regional hemodynamic disorders (fibro-muscular dysplasia, moya-moya disease, anomalies in the development of the arterial circle of the large brain);
- Bifurcation-hemodynamic aneurysms in some hereditary diseases (Marfan, Ehlers-Danlo, Grenblad-Strandberg, Friedreich, Bloom, Pompe disease).
Degenerative-necrotic aneurysms (radiation, atherosclerotic).
Traumatic (with traumatic brain injury).
Inflammatory (as a result of vasculitis, embolic bacterial or mycotic).
Oncogenic.
Dysambriogeneticheskie.
Iatrogenic.

trusted-source [12], [13], [14], [15], [16], [17]

Who to contact?

Neurosurgeon

Treatment of the arterial aneurysms of the brain

Open (transcranial) interventions.
Endovascular interventions using:
- balloon-catheters;
- stents;
- spirals (coils).

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