Stephen J. Schueler, M.D.

Overview Incidence Risk Factors Symptoms Evaluation Treatment drugs specialist surgery Warning Signs Prevention Outlook Complications Underlying Cause Anatomy

Leaking Brain Aneurysm Treatment

Treatment for a subarachnoid hemorrhage depends on the extent of the bleed and the neurological status of the patient. Treatment may include intravenous fluids, oxygen therapy, medications, and surgery to repair the bleeding vessel.

Specific treatment for subarachnoid hemorrhage may include:

Leaking Brain Aneurysm Drugs

Medications used to treat subarachnoid hemorrhage include:

Calcium channel blocker medication:

Anticonvulsant medications:

Antihypertensive medications:

Diuretic medications:

Statin medications:
  • Simvastatin is currently being studied to see if it has benefit.

Leaking Brain Aneurysm Specialist

Physicians from the following specialties evaluate and treat a subarachnoid hemorrhage:

Leaking Brain Aneurysm Surgery

Surgery may be required if the subarachnoid hemorrhage is due to a ruptured aneurysm that can be repaired. An aneurysm is a bulge in the wall of an artery, caused by weakness in the wall. Surgery is used to stop bleeding from a cerebral aneurysm.

Two types of surgery are performed to treat aneurysms:

Aneurysm Clipping
  • An incision is made in the scalp and the skull is opened.
  • A tiny clip is placed at the base of the aneurysm.
  • Blood continues to flow through the artery, but is unable to flow through the leak in the weakened wall.
  • Clipping can prevent rebleeding of an aneurysm.

Aneurysm Embolization
  • A catheter is introduced into the artery.
  • A tiny coil is introduced into the artery, through the catheter
  • The coil fills the aneurysm.
  • The coil causes a clot to form in the aneurysm, sealing the leak.

Continue to Leaking Brain Aneurysm Warning Signs

Last Updated: Jun 13, 2011 References
Authors: Stephen J. Schueler, MD; John H. Beckett, MD; D. Scott Gettings, MD
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PubMed Leaking Brain Aneurysm References
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  2. Edlow JA. Diagnosis of subarachnoid hemorrhage. Neurocrit Care. 2005;2(2):99-109. [16159051]
  3. Rosen DS, Macdonald RL. Subarachnoid hemorrhage grading scales: a systematic review. Neurocrit Care. 2005;2(2):110-8. [16159052]
  4. Salary M, Quigley MR, Wilberger JE Jr. Relation among aneurysm size, amount of subarachnoid blood, and clinical outcome. J Neurosurg. 2007 Jul;107(1):13-7. [17639867]
  5. Stiefel MF, Heuer GG, Abrahams JM, Bloom S, Smith MJ, Maloney-Wilensky E, Grady MS, LeRoux PD. The effect of nimodipine on cerebral oxygenation in patients with poor-grade subarachnoid hemorrhage. J Neurosurg. 2004 Oct;101(4):594-9. [15481712]
  6. Toussaint LG 3rd, Friedman JA, Wijdicks EF, Piepgras DG, Pichelmann MA, McIver JI, McClelland RL, Nichols DA, Meyer FB, Atkinson JL. Influence of aspirin on outcome following aneurysmal subarachnoid hemorrhage. J Neurosurg. 2004 Dec;101(6):921-5. [15597751]
  7. van Gijn J, Kerr RS, Rinkel GJ. Subarachnoid haemorrhage. Lancet. 2007 Jan 27;369(9558):306-18. [17258671]
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