Vascular · Aneurysm
Brain Aneurysm Treatment in Faridabad
Whether an aneurysm was found by chance or has bled, the decisions are complex. We help you understand the options, the risks and why timing matters.
ब्रेन एन्यूरिज़्म दिमाग़ की नस में गुब्बारे जैसी सूजन है। बिना फटे एन्यूरिज़्म में कई बार निगरानी काफ़ी होती है, पर फटने पर अचानक 'ज़िंदगी का सबसे तेज़ सिरदर्द' होता है; ऐसे में तुरंत 112 पर कॉल करें।
Understanding Brain Aneurysm
A brain aneurysm is a weak spot in an artery wall that bulges outwards like a small balloon, usually at branching points of the arteries at the base of the brain. Many people live with a small aneurysm without knowing. It is often discovered on an MRI or CT angiogram done for headache, dizziness or another reason.
An unruptured aneurysm usually causes no symptoms, and many never bleed. A ruptured aneurysm bleeds into the space around the brain, called subarachnoid haemorrhage (SAH), a type of brain haemorrhage. People describe a sudden, explosive 'worst headache of my life', often with vomiting, neck stiffness or collapse. This is a life-threatening emergency.
Options include careful observation, surgical clipping (a small clip placed across the aneurysm neck through a craniotomy) and endovascular coiling (filling the aneurysm with soft coils through a catheter from the groin or wrist). The treating neurovascular team decides after studying size, shape and location. Cerebrovascular neurosurgery is a listed specialisation for Dr. Naresh Panwar; patients from Faridabad and Delhi NCR are assessed at Sarvodaya Hospital, Sector 8.
Common symptoms
Symptoms vary from person to person. Having one of these does not mean you have this condition.
Most unruptured aneurysms are silent and found by chance.
A sudden, explosive headache peaking within seconds, the warning sign of rupture.
Caused by irritation from blood around the brain.
Common at the moment of rupture.
A larger aneurysm can press on the nerve that moves the eye.
Possible causes & risk factors
Puts constant stress on artery walls.
One of the strongest changeable risk factors for formation and rupture.
Two or more close relatives with aneurysms raises the risk.
Polycystic kidney disease and some connective tissue disorders.
Aneurysms are somewhat commoner in women and after 40.
When to seek help
Book a routine consultation
- An unruptured aneurysm found on MRI or angiogram
- Strong family history of aneurysm or SAH
- Polycystic kidney disease with headaches
- Wanting to understand observation versus treatment
Seek emergency care
- Sudden, severe 'worst ever' headache: call 112 or go to the nearest emergency department immediately
- Headache with vomiting, neck stiffness, fainting or seizure
- Sudden drooping eyelid with double vision and headache
How it is diagnosed
The first test for suspected SAH; shows blood around the brain.
Shows the aneurysm, its size, shape and neck.
A catheter test giving the most detailed view, often used for treatment planning.
Used for screening and follow-up of unruptured aneurysms without radiation.
Available treatment options
Treatment is chosen after examining you and studying your scans. Many people do well without an operation.
Small unruptured aneurysms are often monitored with periodic imaging, alongside strict blood pressure control and stopping smoking.
Through a craniotomy, a titanium clip is placed across the aneurysm neck under the microscope, sealing it from circulation.
Soft platinum coils are passed through a catheter to block the aneurysm from inside, sometimes with a stent.
After rupture, care includes treating hydrocephalus, preventing vessel spasm and supporting the brain in the neuro ICU.
When neurosurgery may be recommended
- The aneurysm has ruptured
- It is larger, irregular in shape or growing
- It causes symptoms such as an eye nerve palsy
- Its location carries higher rupture risk
- Younger age, family history or past SAH raise lifetime risk
Procedure overview
A simplified outline. The exact steps depend on your scans and the approach chosen.
- Team reviewNeurosurgical and neuro-interventional specialists study the angiogram and choose clipping, coiling or observation.
- Securing the aneurysmAfter rupture this is usually done urgently to prevent a rebleed.
- ICU monitoringPatients after SAH are watched for vessel spasm, hydrocephalus and salt imbalance.
- Follow-up imagingRepeat angiography confirms the aneurysm stays sealed.
Potential benefits, risks & limitations
Potential benefits
- Securing a ruptured aneurysm lowers the risk of a dangerous rebleed
- Treating a high-risk unruptured aneurysm may prevent a future haemorrhage
- Clipping can give durable closure; coiling avoids opening the skull
Possible risks
- Stroke from vessel injury or clot during treatment
- Rupture during the procedure
- Seizures or infection after clipping
- Incomplete closure or recurrence, more often after coiling
- Vessel spasm and hydrocephalus after SAH
Treatment seals the aneurysm but cannot undo brain injury already caused by a bleed. For many small unruptured aneurysms, treatment risks may outweigh benefits, so observation is a valid choice.
Recovery & follow-up
After a planned unruptured aneurysm treatment, many people return to normal activities within weeks, though tiredness may linger. Recovery from coiling itself is often quicker than from clipping.
Recovery after SAH is longer and less predictable. Headache, fatigue, memory and mood changes are common for months, and rehabilitation, lifelong blood pressure control and stopping smoking are vital. Learn more in understanding brain aneurysms.
Why consult Dr. Naresh Panwar
- Cerebrovascular Neurosurgery is a listed specialisation on his Sarvodaya Hospital profile
- Brain haemorrhage and brain stroke surgery are also listed specialisations
- Listed experience in management of critical neurological patients
- MCh (Neurosurgery), SMS Medical College, Jaipur; member of NSI and EANS
Questions to ask your surgeon
Write these down and bring them to your appointment.
- Is my aneurysm ruptured or unruptured, and what is its size and shape?
- Is observation safe for me?
- Would clipping or coiling suit my aneurysm better, and why?
- Is coiling available here, or would I be referred?
- Should my family members be screened?
Frequently asked questions
I have a small unruptured aneurysm. Will it burst?
Many small aneurysms never rupture. The risk depends on size, shape, location, blood pressure, smoking and family history, and your team weighs these against treatment risks.
Which is better: clipping or coiling?
Neither suits everyone. Coiling avoids opening the skull, while clipping can give very durable closure for certain shapes. The treating team decides for each aneurysm.
Dimag ki nas mein gubbara (aneurysm) ho to kya karein?
Ghabraayein nahi, har aneurysm phatta nahi. BP control rakhein, smoking band karein aur neurosurgeon ko report dikhayein. Achanak bahut tez sirdard, ulti ya behoshi ho to turant 112 call karein.
Should my brothers and sisters be screened?
Screening is sometimes advised when two or more close relatives have had aneurysms, or with conditions like polycystic kidney disease. Your doctor can advise what suits your family.
We live in Greater Faridabad. What if someone gets a sudden severe headache?
Call 112 or go straight to the nearest emergency department with CT facilities; do not wait for painkillers to work. For planned consultations at Sarvodaya Hospital, Sector 8, call +91 96608 88640 to confirm timings. Our headache guide explains the difference.
Related care & reading
Appointments
Your brain and spine health deserve a carefully considered plan.
Request a consultation with Dr. Naresh Panwar at Sarvodaya Hospital, Sector 8, Faridabad. Bring your MRI or CT scans and reports, and the care team will help you prepare.