If you experience a sudden, severe headache or other symptoms possibly related to a ruptured aneurysm, you'll be given a test or series of tests to determine whether you've had bleeding into the space between your brain and surrounding tissues (subarachnoid hemorrhage) or possibly another type of stroke.
If bleeding has occurred, your emergency care team will determine whether the cause is a ruptured aneurysm.
If you show symptoms of an unruptured brain aneurysm — such as pain behind the eye, changes in vision or double vision — you will also undergo some tests to identify the offending aneurysm.
Diagnostic tests include:
Computerized tomography (CT). A CT scan, a specialized X-ray exam, is usually the first test used to determine if you have bleeding in the brain. The test produces images that are 2-D "slices" of the brain.
With this test, you may also receive an injection of a dye that makes it easier to observe blood flow in the brain and may indicate the presence of an aneurysm. This variation of the test is called CT angiography.
Cerebrospinal fluid test. If you've had a subarachnoid hemorrhage, there will most likely be red blood cells in the fluid surrounding your brain and spine (cerebrospinal fluid). Your doctor will order a test of the cerebrospinal fluid if you have symptoms of a ruptured aneurysm but a CT scan hasn't shown evidence of bleeding.
The procedure to draw cerebrospinal fluid from your back with a needle is called a lumbar puncture (spinal tap).
Magnetic resonance imaging (MRI). An MRI uses a magnetic field and radio waves to create detailed images of the brain, either 2-D slices or 3-D images.
A type of MRI that assesses the arteries in detail (MRI angiography) may detect the presence of an aneurysm.
Cerebral angiogram. During this procedure, also called a cerebral arteriogram, your doctor inserts a thin, flexible tube (catheter) into a large artery — usually in your groin — and threads it past your heart to the arteries in your brain. A special dye injected into the catheter travels to arteries throughout your brain.
A series of X-ray images can then reveal details about the conditions of your arteries and detect an aneurysm. This test is more invasive than others and is usually used when other diagnostic tests don't provide enough information.
Screening for brain aneurysms
The use of imaging tests to screen for unruptured brain aneurysms is generally not recommended. However, you may want to discuss with your doctor the potential benefit of a screening test if you have:
- A family history of brain aneurysms, particularly if you have two first-degree relatives — your parents or siblings — with brain aneurysms
- A congenital disorder that increases your risk of a brain aneurysm
There are two common treatment options for a ruptured brain aneurysm.
- Surgical clipping is a procedure to close off an aneurysm. The neurosurgeon removes a section of your skull to access the aneurysm and locates the blood vessel that feeds the aneurysm. Then he or she places a tiny metal clip on the neck of the aneurysm to stop blood flow to it.
Endovascular coiling is a less invasive procedure than surgical clipping. The surgeon inserts a hollow plastic tube (catheter) into an artery, usually in your groin, and threads it through your body to the aneurysm.
He or she then uses a guide wire to push a soft platinum wire through the catheter and into the aneurysm. The wire coils up inside the aneurysm, disrupts the blood flow and essentially seals off the aneurysm from the artery.
Both procedures pose potential risks, particularly bleeding in the brain or loss of blood flow to the brain. The endovascular coil is less invasive and may be initially safer, but it may have a slightly higher risk of need for a repeat procedure in the future due to reopening of the aneurysm.
Newer treatments available for brain aneurysm include flow diverters, tubular stent-like implants that work by diverting blood flow away from an aneurysm sac. The diversion stops blood movement within the aneurysm and so stimulates the body to heal the site, encouraging reconstruction of the parent artery. Flow diverters may be particularly useful in larger aneurysms that can't be safely treated with other options.
Your neurosurgeon or interventional neuroradiologist, in collaboration with your neurologist, will make a recommendation based on the size, location and overall appearance of the brain aneurysm, your ability to undergo a procedure, and other factors.
Other treatments (ruptured aneurysms)
Other treatments for ruptured brain aneurysms are aimed at relieving symptoms and managing complications.
- Pain relievers, such as acetaminophen (Tylenol, others), may be used to treat headache pain.
Calcium channel blockers prevent calcium from entering cells of the blood vessel walls. These medications may lessen the erratic narrowing of blood vessels (vasospasm) that may be a complication of a ruptured aneurysm.
One of these medications, nimodipine (Nymalize, Nimotop), has been shown to reduce the risk of delayed brain injury caused by insufficient blood flow after subarachnoid hemorrhage from a ruptured aneurysm.
Interventions to prevent stroke from insufficient blood flow include intravenous injections of a drug called a vasopressor, which elevates blood pressure to overcome the resistance of narrowed blood vessels.
An alternative intervention to prevent stroke is angioplasty. In this procedure, a surgeon uses a catheter to inflate a tiny balloon that expands a narrowed blood vessel in the brain. A drug known as a vasodilator also may be used to expand blood vessels in the affected area.
- Anti-seizure medications may be used to treat seizures related to a ruptured aneurysm. These medications include levetiracetam (Keppra), phenytoin (Dilantin, Phenytek, others), valproic acid (Depakene) and others. Their use has been debated by several experts, and is generally subject to caregiver discretion, based on the medical needs of each patient.
Ventricular or lumbar draining catheters and shunt surgery can lessen pressure on the brain from excess cerebrospinal fluid (hydrocephalus) associated with a ruptured aneurysm. A catheter may be placed in the spaces filled with fluid inside of the brain (ventricles) or surrounding your brain and spinal cord to drain the excess fluid into an external bag.
Sometimes it may then be necessary to introduce a shunt system — which consists of a flexible silicone rubber tube (shunt) and a valve — that creates a drainage channel starting in your brain and ending in your abdominal cavity.
- Rehabilitative therapy. Damage to the brain from a subarachnoid hemorrhage may result in the need for physical, speech and occupational therapy to relearn skills.
Treating unruptured brain aneurysms
Surgical clipping or endovascular coiling or a flow diverter can be used to seal off an unruptured brain aneurysm and help prevent a future rupture. However, in some unruptured aneurysms, the known risks of the procedures may outweigh the potential benefit.
A neurologist, in collaboration with a neurosurgeon or interventional neuroradiologist, can help you determine whether the treatment is appropriate for you.
Factors to consider in making treatment recommendations include:
- The size, location and overall appearance of the aneurysm
- Your age and general health
- Family history of ruptured aneurysm
- Congenital conditions that increase the risk of a ruptured aneurysm
If you have high blood pressure, talk to your doctor about medication to manage the condition. If you have a brain aneurysm, proper control of blood pressure may lower the risk of rupture.
In addition, if you smoke cigarettes, talk with your provider about strategies to stop smoking since cigarette smoking is a risk factor for formation, growth and rupture of the aneurysm.
Lifestyle changes to lower your risk
If you have an unruptured brain aneurysm, you may lower the risk of its rupture by making these lifestyle changes:
- Don't smoke or use recreational drugs. If you smoke or use recreational drugs, talk to your doctor about strategies or an appropriate treatment program to help you quit.
- Eat a healthy diet and exercise. Changes in diet and exercise can help lower blood pressure. Talk to your doctor about changes appropriate for you.
Coping and support
The Brain Aneurysm Foundation offers information on connecting with support groups in many states and in other countries, including the Mayo Clinic Brain Aneurysm Support Group.
Preparing for your appointment
Brain aneurysms are often detected after they've ruptured and become medical emergencies. However, a brain aneurysm may be detected when you've undergone head-imaging tests for another condition.
If such test results indicate you have a brain aneurysm, you'll need to discuss the results with a specialist in brain and nervous system disorders (neurologist, neurosurgeon or neuroradiologist).
What you can do
To make the best use of your time with your doctor, you may want to prepare a list of questions, such as:
- What do you know about the size, location and overall appearance of the aneurysm?
- Do the imaging test results provide evidence of how likely it is to rupture?
- What treatment do you recommend at this time?
- If we wait, how often will I need to have follow-up tests?
- What steps can I take to lower the risk of an aneurysm rupturing?
What to expect from your doctor
Your neurologist, neurosurgeon or neuroradiologist may ask you the following questions to help determine the best course of action:
- Do you smoke?
- How much alcohol do you drink?
- Do you use recreational drugs?
- Are you being treated for high blood pressure, high cholesterol or other conditions that increase the risk of cardiovascular disease?
- Do you take your medications as prescribed by your doctor?
- Is there a history of brain aneurysm in your family?