HanoiA 41-year-old female patient who suddenly lost her vision due to a giant brain aneurysm was just saved by surgeons.
The patient was from Quang Binh, worked as a teacher, had blurred vision, went to the local hospital for examination, was diagnosed with an eye disease, and treatment did not help. At the end of last year, an MRI scan at Hue Central Hospital revealed a giant aneurysm of the internal carotid artery.
The patient had a stent placed in Hue but the aneurysm size continued to increase. After being examined at many medical facilities, the patient received medical treatment for about 3 months but there was no progress, and both eyes gradually lost vision.
Examined at Viet Duc Hospital, the patient had a bulge that threatened to burst, blocking the vision, causing complete blindness in the left eye, and only 2/10 in the right eye. “This is one of the serious and difficult cases in treating carotid artery aneurysm,” Dr. Duong Duc Hung, Director of Viet Duc Hospital, said on April 24, adding that it is rare for patients to have an aneurysm. big, causing loss of vision like this but not broken yet.
Experts from the Department of Neurosurgery 2 consulted and decided to operate and treat the condition with artery bypass surgery and internal carotid artery reconstruction. Specifically, to cut the aneurysm, doctors must block the artery in both directions, but this will lead to the risk of cerebral ischemia. At that time, the doctor must bypass the artery to help blood circulate to the brain. After cutting the aneurysm, doctors sewed the artery back together. The surgery lasted 6 hours and was successful.
Currently, two weeks after surgery, the patient’s condition is stable, he can walk on his own, and his vision has recovered well.
A brain aneurysm is a bulging wall of a blood vessel in the brain. Small brain aneurysms usually do not cause symptoms. However, if the aneurysm enlarges, it can cause pressure on the brain, causing the patient to have headaches, blurred vision or loss of vision. Brain aneurysms can rupture or rupture, causing sudden, severe headaches. Rupture of a brain aneurysm is a very serious and dangerous condition that is life-threatening and requires proper and timely treatment.
Giant aneurysms account for 20% of all brain aneurysms. If not promptly intervened and treated, the risk of rupture is as high as 25%. There are two methods of treating cerebral carotid artery aneurysm: endovascular intervention or surgical treatment.
Cerebral aneurysm is considered a silent killer. Depending on the different stages, the disease will have different symptoms such as numbness, weakness on one side of the body, headaches, dizziness, loss of vision… The stage when the aneurysm ruptures can cause serious complications. Cerebrovascular hemorrhage often occurs with symptoms of sudden and severe headache; confusion or loss of consciousness.