Cerebral artery

Cerebral artery's disease overview

Broken brain aneurysm is a common cause in brain bleeding stroke in young people. Breaking the cerebral vessels or causing subarachia - trying to have a high mortality rate. On average, 10% of patients with subarachnoid died before being hospitalized, 25% died within 24 hours, approximately 45% death within 30 days.

Causes of Cerebral artery's disease

Causes of brain aneurysms is still unknown

Symptoms of Cerebral artery's disease

Most asymptomatic aneurysms are, usually only accidentally detected or when there is a complication of aneurysm

Some signs of brain aneurysms can meet:

  • Headache
  • Reduction of vision
  • Paralysis of skull nerve (especially paralysis of the number III causes strabismus, double view), due to compressive bulge
  • Symptoms of broken brain aneurysms:
  • Sudden severe headache
  • vomit, nausea

    • Hard crows

  • may impair consciousness, coma

    • Some may cause mild to severe local to severe localities

    Cleep often rarely encountered

  • Suddenly: 10-15% of patients die before going to the hospital

    • People at risk for Cerebral artery's disease

    Genetic factors: Some genetic diseases increase the risk of brain aneurysms such as

  • Connective tissue disease for example Ehler- Danlos syndrome
  • Polycystic kidney disease
  • Aldosteron has a family property 1
  • Moyamoya syndrome
  • Families with sick people

    • In addition, the following subjects are also at risk of cerebral aneurysm:

  • Hypertension
  • Smoking

    • Lack of estrogen in women: usually after menopause, reducing collagen in tissue, increasing the risk of brain bulge

    Aortic stenosis

    Prevention of Cerebral artery's disease

    Measures can be prevented quite little and limited

  • Quit smoking
  • Good blood pressure is based on a healthy diet and medication

    • Diagnostic measures for Cerebral artery's disease

  • Cerebral vascular cutting layer (with contrast injection): Can be determined quite accurately the location and size of aneurysms from which deciding to intervene and surgery
  • Cerebral cerebral cerebral resonance (MRI): Similar to the cerebral vascular compound, the disadvantage is longer and more expensive.
  • Computerized tomography: In cases of suspected hemorrhage due to aneurysm, it is possible to just need to be able to detect
  • Cerebrospinal fluid: Cases of high suspicion that the film is not clear, may have to puncture the brain fluid. Cerebrospinal fluid is pink (blood), three consecutive tubes are not crowded.

    • Cerebral artery's disease treatments

    There are two measures The main treatment for cerebral artery aneurysm is mainly in the intravascular intervention or surgery. With surgical measures, the surgeon will open the skull, using a tool (called a clip) to clamp the neck of the bulge. With intravascular intervention, the doctor intervenes will put a material in platinum (called coil) into the heart of the aneurysm to cause thrombosis at the aneurysm

    For unprocessed brain aneurysms: recommendations of intervention/surgery when the size of an aneurysm> 7-10mm. Intravascular intervention is a less than surgical method, which is now given priority to use

    For broken brain aneurysms:

  • Depending on the experience of each center and hospital, it can conduct intravascular intervention or surgery. Internal intervention is usually prioritized.
    • time surgery/intervention: If the patient has no symptoms or mild headaches, or a lot of headache, hard nape but no local nerve symptoms (except wiring paralysis Skull nerves), or mild loss of consciousness, mild intervention/surgical nerve symptoms should be performed early in 24-72 hours. If the patient is in a coma, the symptoms are severe, the prognosis is often bad. Treatment decision depends on each specific case. Because surgery in this case may have more complications than delay for 10-14 days. Moreover, the condition of brain edema and blood clots around the aneurysm can make surgery more difficult.
  • The target of blood pressure during the acute phase is recommended below 160mmHg. The drugs can be used: labetalol, nicardipine. Avoid using nitroprusside or nitroglycerin
  • Reduce brain anemia: Nimodipin 60mg oral every 4 hours or pump through stomach sonde. Avoid using intravenous lines.
  • Ensure the volume of circulation

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