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Arterial aneurysms of cerebral vessels

Medical expert of the article

Neurosurgeon, neurooncologist
, medical expert
Last reviewed: 23.04.2024

Aneurysm - a local dilatation of the artery lumen as a result of changes or damage to its walls. Most often, brain aneurysms are a disease of the arterial tees of the Willis polygon.

trusted-source[1], [2], [3], [4], [5], [6]

Symptoms of the arterial aneurysms of the brain

  • Dogemorrhagic period (asymptomatic or asymptomatic course, less often tumorous-like course with large aneurysm size).
  • Hemorrhagic period (clinic of hemorrhagic stroke mainly as a subarachnoid hemorrhage).

trusted-source[7], [8], [9], [10], [11]

Forms

  • Bifurcation-hemodynamic aneurysms (so-called congenital):
    • Bifurcation-hemodynamic aneurysms in systemic arterial hypertension;
    • Bifurcation-hemodynamic aneurysms in regional hemodynamic disorders (fibro-muscular dysplasia, moya-moya disease, anomalies in the development of the arterial circle of the large brain);
    • Bifurcation-hemodynamic aneurysms in some hereditary diseases (Marfan, Ehlers-Danlo, Grenblad-Strandberg, Friedreich, Bloom, Pompe disease).
  • Degenerative-necrotic aneurysms (radiation, atherosclerotic).
  • Traumatic (with traumatic brain injury).
  • Inflammatory (as a result of vasculitis, embolic bacterial or mycotic).
  • Oncogenic.
  • Dysambriogeneticheskie.
  • Iatrogenic.

trusted-source[12], [13], [14], [15], [16], [17]

Who to contact?

Treatment of the arterial aneurysms of the brain

  • Open (transcranial) interventions.
  • Endovascular interventions using:
    • balloon-catheters;
    • stents;
    • spirals (coils).


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