Cerebral aneurysms

Cerebral aneurysms

A cerebral aneurysm is an abnormal sac-like dilatation of a cerebral artery with a weakened wall, that may break in the event of a blood pressure increase. The rupture of a cerebral aneurysm usually causes the so-called subarachnoid haemorrhage.

This effusion is a bleed in the space between the brain and the membranes covering it. Sometimes it can be accompanied by a bruise inside the brain.

Subarachnoid haemorrhage due to aneurysm has a high mortality with about 30% of patients dying, a third of them before reaching the hospital. About half of those who survive may be affected by some kind of sequel.

Postoperative of cerebral aneurysm surgery

The usual postoperative period will depend greatly on the situation of the patient before the operation. After leaving the operating room, the patient will go to the Resuscitation / Intensive Care Unit (ICU) where he will remain at least until the day after the operation.

This aims to make recovery from anaesthesia slow and ideal for a brain that has been recently operated. It also allows a better monitoring of the patient in the first hours, and the possibility to detect early complications that may require a new intervention. Once back to the Neurosurgery unit, the patient will be progressively getting up until he finally leaves bed 24 to 48 hours after the intervention. The postoperative operation of a head operation of this sort is often not particularly painful. Pain produced in the wound is usually controlled correctly with conventional painkillers. The patient will be discharged from hospital 4-7 days after surgery depending on their previous condition and postoperative recovery, provided there are no complications. After 7-8 days of the surgery the stitches are removed.

What happens to the hospital discharge?

You must strictly follow medical treatment indicated by your neurosurgeon at the time of discharge.

During the first month after the operation the patient must lead a very quiet life, without making any efforts or physical exercise. As much as possible is, the advice is that you are in company of a person throughout the day. You can read or watch television for a while without becoming fatigued, since the effort of concentration in a single activity could lead to a headache. It is recommended to gradually increase the rhythm of activity during the first month. In the third week, if your clinical condition allows it, you may go out and walk for 15 minutes without getting tired. After 4 weeks the patient is expected to go back to the Neurosurgery Outpatients ward for the evolutionary control of the operation.