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Aneurysm, brain - Introduction

NHS Choices Medical Reference

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An aneurysm is a bulge in a blood vessel caused by a weakness in the blood vessel wall, usually where it branches.

As blood passes through the weakened blood vessel, the blood pressure causes a small area to bulge outwards like a balloon.

Aneurysms can develop in any blood vessel anywhere in the body, but the two most common places for them to form are in the abdominalaorta (the artery that transports blood away from the heart to the rest of the body) and the brain.

This topic is about brain aneurysms. Read the separate topic on abdominal aortic aneurysm.

About brain aneurysms

The medical term for an aneurysm that develops inside the brain is an intracranial or cerebral aneurysm.

Most brain aneurysms will only cause noticeable symptoms if they burst (rupture).

This will then lead to an extremely serious condition known as a subarachnoid haemorrhage, where bleeding caused by the ruptured aneurysm can cause extensive brain damage and symptoms such as:

  • a sudden agonising headache - it has been described as a 'thunderclap headache', similar to a sudden hit on the head, resulting in a blinding pain unlike anything experienced before
  • stiff neck
  • sickness and vomiting
  • pain on looking at light

About 3 in 5 people who have a subarachnoid haemorrhage will die within two weeks and half of those who survive are left with severe brain damage and disability.

Read more about the symptoms of a brain aneurysm.

A ruptured brain aneurysm is a medical emergency. If you suspect that you or someone in your care has had a ruptured brain aneurysm, call 999 immediately and ask for an ambulance.

How brain aneurysms are treated

If a brain aneurysm is detected before it ruptures, treatment may be recommended to prevent it from rupturing in future. Most aneurysms, however, will not rupture so treatment is only carried out if the risk of a rupture is particularly high.

Factors that affect whether treatment is recommended include your age, the size and position of the aneurysm, your family medical history and any other health conditions you have.

If treatment is recommended, this will usually involve either filling the aneurysm with tiny metal coils, or an open operation to seal it shut with a tiny metal clip.

If your risk of a rupture is low, you will have regular check-ups to monitor your aneurysm. You may also be given medication to reduce your blood pressure and advice about ways you can reduce your chances of a rupture, such as stopping smoking if you smoke.

The same techniques used to prevent ruptures are also used to treat brain aneurysms that have already ruptured.

Read more about diagnosing brain aneurysms and treating brain aneurysms.

Why brain aneurysms develop

Exactly what causes the wall of affected blood vessels to weaken is still unclear, although risk factors have been identified including: 

In some cases, an aneurysm may develop because there was a weakness in the walls of the blood vessels at birth.

Read more about the causes of brain aneurysms.

Who is affected

It's difficult to estimate exactly how many people are affected by brain aneurysms because in most cases they cause no symptoms and pass undetected. Some experts believe it could be as high as 1 in 20 people while others think the figure is much lower at around 1 in a 100 people.

The number of aneurysms that actually rupture is much smaller. Only around 1 in 12,500 people will have a ruptured brain aneurysm in any given year in England.

Brain aneurysms can develop in anyone at any age, but are more common in people over 40 years of age and women tend to be affected more commonly than men.

Preventing brain aneurysms

The best way to prevent getting an aneurysm, or reduce the risk of an aneurysm growing bigger and possibly rupturing, is to avoid activities that could damage your blood vessels, such as:

  • smoking
  • eating a high-fat diet
  • not exercising regularly
  • being overweight or obese

Read more about preventing aneurysms.

Medical Review: August 19, 2013
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