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dad has 5mm saccular brain aneurysm which bled then clotted

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My dad has a 5mm saccular brain aneurysm which bled then clotted by itself months ago but has only been found in the last month. We are waiting to hear back from neurosurgeons to decide on the operation and I am very scared about the outcome. I've read all about the clipping and the coiling. I think they will end up going with the clipping procedure from what I've gathered. My dad is 64 and also has a blocked carotid artery (which is what he initially went to hospital for and then they found the aneurysm. He is on many medications for really bad migraines and dizziness which they think are coming from the aneurysm. Can you please tell me what the chances are of a good outcome? I know it will be a long recovery but that is fine as long as he can come through the operation well. I'm really scared.

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replied April 28th, 2015
Neurological Disorders Answer A52020
Welcome to e health forum.

Brain aneurysms can be treated using surgery if they have burst (ruptured) or if there is a risk that they will. Surgery also has potentially serious complications, such as brain damage or stroke. Hence surgery is done only after assessing the risk of aneurysm repair.

Risk of rupture of the aneurysms and consequent mortality is more likely due to - advanced age of the patient, , aneurysm size larger than 7mm, aneurysms on the larger blood vessels, associated medical conditions like high blood pressure.

In such cases - surgical repair of the aneurysms at the earliest is indicated.

Serious health problems, which may be more likely in some individuals especially if they are very elderly, may increase the chances of having complications during aneurysm surgery. If the general health of your father is good, then there is no need to avoid the procedure for aneurysm repair.

But surgical treatment for cranial aneurysm repair carries the risks including - bleeding in the brain or blood clotting, swelling of the brain, infections, seizures, strokes, neurological weakness, of defects of speech, balance, vision, memory, etc. Risks associated with anesthesia used to conduct the surgery also has risks of possible breathing or cardiac issues which can result in unexpected death during surgery.

Though the risks have been explained here, it is not likely that your father might actually have them, as long as he has experienced team of doctors treating him. It would be recommended that you consult the treating doctors and seek proper counselling and advice.

I hope this helps.

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