Cerebral (brain) aneurysm
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Brain aneurysm (cerebral aneurysm, intracranial aneurysm) is a pathological dissection of blood vessels that feed the brain. This condition is the most common among non-traumatic causes of the subarachnoid hemorrhage. Most often brain arterial aneurysms rupture at the age of 20-40. This disease occurs 1.5 times more often in women than in men.
The Booking Health portal presents 48 German clinics specializing in cerebral (brain) aneurysm treatment
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Brain aneurysm – Diagnostics
Diagnostics of the brain aneurysms is performed with the help of the instrumental methods.
- Cerebral angiography is an X-ray examination. The contrast agent is injected into the blood vessels. It is the main method of the aneurysm detection. The accuracy of the diagnostics with the help of modern equipment reaches 95%. In this way the doctor can identify brain aneurysm before hemorrhage. More often the problem is detected only after the aneurysm rupture, as there is no need in diagnostics before this due to the absence of symptoms.
- Lumbar puncture is the method when a doctor inserts a needle into the subarachnoid space of the spinal cord at the lumbar level. It is performed in case of suspected subarachnoid hemorrhage. The increased pressure of the cerebrospinal fluid and blood in it indicate the subarachnoid hemorrhage.
- Transcranial doppler ultrasound examination helps to assess the brain blood flow and choose the optimal time for surgery after the hemorrhage. In case of decompensated ischemia caused by vascular spasm, surgery is contraindicated.
- Computed axial tomography helps to detect the blood congestions. This method has not only diagnostic, but also prognostic value.
Best clinics for the brain aneurysm diagnostics in Germany:
Brain aneurysm – Treatment
Methods of treatment depend on the severity of patient’s condition after subarachnoid haemorrhage. There are four stages, such as:
- Extremely acute (first three days) is the optimal time for surgery in case of 1, 2 or 3 stage of severity. The conservative therapy is performed at the 4-5 stage.
- Acute (up to two weeks). The phenomena of brain ischemia increases, so the surgery is not performed and the patients are treated with the conservative methods. Surgical intervention is indicated only if there is a repeated haemorrhage, but lethality after surgery reaches 50%.
- Subacute (up to four weeks) is characterized by the regression of the ischemia and cerebral edema. Surgery is possible in the patients with 1, 2, 3 stages of severity and 4-5 stages also if the arteriopathy conditions are eliminated (according to the transcranial doppler examination) due to the conservative therapy.
- Cold (after four weeks) is the most desirable time for surgery, but it is usually performed earlier as the risk of the repeated aneurysm rupture is high during the subacute stage.
The main purpose of the surgery is the removal of the blood and excluding the brain aneurysm from the blood flow in order to prevent another rupture. To achieve this purpose, doctors perform clipping (put the clips) on the attached to the aneurysm vessels.
The endovascular occlusion with the help of a spiral (closure of the vessel lumen) is possible in modern clinics. The spiral is implanted inside the artery causing its thrombosis. Сraniotomy is not required during this high-tech surgery and it’s the main advantage. The disadvantage is that it is impossible to remove blood. This surgical intervention is performed only in certain cases – in case of a slight hemorrhage or when it is impossible to perform an open surgery.
Best clinics for the brain aneurysm treatment in Germany:
Beta Clinic Bonn
Brain aneurysm – Rehabilitation
Rehabilitation is the process of restoration from injuries, surgeries or diseases. After the surgical treatment of aneurysms, the rehabilitation program helps to endure the postoperative period much easier and return to everyday life as quickly as possible.
The most modern rehabilitation programs are used in Germany. They are adapted individually for each patient, and are based on the age, physical possibilities, and the results of previous treatment. Different specialists, such as cardiologists, therapists, psychologists, rehabilitators, physiotherapists are involved in the rehabilitation process.
The following methods of rehabilitation are used:
- Early activation and dosed physical activity
- Breathing exercises
- Training on the simulators and in the pool
- Physiotherapy
- Natural factors of the nature (mud, thermal waters, etc.)
Rehabilitation includes medicamentous support. The doctor selects drugs that normalize the level of blood pressure, improve the condition of the vessel wall and blood properties. It is necessary to hold a consultation with the patient about the proper nutrition and level of physical activity which is important for him in the current situation.
Rehabilitation programs in Germany are designed for 2 weeks. If necessary, they can last much longer. In this country, the patient is provided with qualitative care, accommodation in comfortable rooms and individually selected meals.
Rehabilitation programs in Germany show one of the best results in the world. Most patients successfully restore their working capacity and excellent health there. They remain physically active, return to the full social and family life.
Best clinics for neurological rehabilitation in Germany:
Author:
The article was edited by medical expert, board certified Dr. Nadezhda Ivanisova. For the treatment of the conditions referred to in the article you must consult a doctor; the information in the article is not intended for self-medication!
Sources:
The cost of services includes
Here you can find the cost of treatment for this disease at the German University Hospitals. Leave a request and we will provide a free consultation with a doctor and will start organizing the whole treatment process.
The program includes the following:
- Issuing of an invitation for getting a visa for treatment as quick as possible
- Fixing an appointment at a time convenient for you
- Preliminary organization of a comprehensive examination and discussion of the forthcoming treatment plan
- Arranging transfer from the airport to the hospital and back to the airport
- Provision of interpreting services and services of a personal medical coordinator
- If necessary, assistance in the organization of further surgical treatment
- Provision of a medical insurance against treatment complications covering up to 200,000 euro
- Preparation and translation of medical records and recommendations from the hospital
- Assistance in the subsequent communication with your attending physician, including consultations on repeated X-ray images through the unique medical document management system E-doc
