Treatments for Cerebral Aneurysm
Treatments for Cerebral Aneurysm
The list of treatments mentioned in various sources
for Cerebral Aneurysm
includes the following list.
Always seek professional medical advice about any treatment
or change in treatment plans.
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Medical news summaries about treatments for Cerebral Aneurysm:
The following medical news items
are relevant to treatment of Cerebral Aneurysm:
Discussion of treatments for Cerebral Aneurysm:
Emergency treatment for individuals with a ruptured
cerebral aneurysm generally includes restoring deteriorating respiration
and reducing intracranial pressure. Surgery is usually performed within
the first 3 days to clip the ruptured aneurysm and to reduce the risk of
rebleeding. In patients for whom surgery is considered too risky,
microcoil thrombosis or balloon embolization may be performed. Other
treatments may include bed rest, drug therapy, or
hypertensive-hypervolemic therapy (hypervolemic hemodilution) to control
vasospasm.
(Source: excerpt from
NINDS Cerebral Aneurysm Information Page: NINDS)
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Book Excerpts: Treatment of Cerebral Aneurysm
Treatments of Cerebral Aneurysm: Online Medical Books
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for more information about the treatments of Cerebral Aneurysm.
Cerebral aneurysm:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Surgical repair, bed rest, codeine, antihypertensives, calcium channel blockers, corticosteroids, phenytoin, phenobarbital, fibrinolytic inhibitor
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Femoral and popliteal aneurysms:
Treatment
(Professional Guide to Diseases (Eighth Edition))
Femoral and popliteal aneurysms require surgical bypass and reconstruction of the artery, usually with an autogenous saphenous vein graft replacement. Arterial occlusion that causes severe ischemia and gangrene may require leg amputation.
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Ventricular aneurysm:
Treatment (Tx)
(Professional Guide to Diseases (Eighth Edition))
Antiarrhythmics, anticoagulants, sodium nitroprusside, embolectomy, cardioversion, oxygen, cardiac glycosides, furosemide, supportive care (morphine, intubation, mechanical ventilation)
» READ BOOK EXCERPT ONLINE »
Source: Professional Guide to Diseases (Eighth Edition), 2005
Aneurysm, cerebral:
Treatment
(Handbook of Diseases)
The risk of vasospasm and cerebral infarction is reduced by repairing the aneurysm. Usually, surgical repair (by clipping, ligating, or wrapping the aneurysm neck with muscle) takes place 7 to 10 days after the initial hemorrhage; however, surgery performed within 1 to 2 days after the hemorrhage has also shown promise in grades I and II aneurysms.
When surgical correction is risky, when the aneurysm is in a dangerous location, or when surgery is delayed because of vasospasm, treatment includes:
bed rest in a relaxing environment that allows the patient to participate in activities that reduce stress and allow for stabilization of blood pressure (If immediate surgery isn’t possible, bed rest may continue for 4 to 6 weeks.)
avoidance of coffee, other stimulants, and aspirin
codeine or another analgesic as needed
CLINICAL TIP: To avoid the constipating effect of codeine, a stool softener is crucial to prevent straining and resultant rebleeding.
hydralazine or another antihypertensive if the patient is hypertensive
a calcium channel blocker to decrease spasm
a corticosteroid to reduce edema
phenytoin or another anticonvulsant
phenobarbital or another sedative
aminocaproic acid, a fibrinolytic inhibitor, to minimize the risk of rebleeding by delaying blood clot lysis. However, this drug’s effectiveness has been disputed.
After surgical repair, the patient’s condition depends on the extent of damage from the initial hemorrhage and the degree of success of the treatment of resulting complications. Surgery can’t improve the patient’s neurologic condition unless it removes a hematoma or reduces the compression effect.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
Aneurysms, femoral and popliteal:
Treatment
(Handbook of Diseases)
Femoral and popliteal aneurysms require surgical bypass and reconstruction of the artery, usually with an autogenous saphenous vein graft replacement. Arterial occlusion that causes severe ischemia and gangrene may require leg amputation.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
aneurysm,ventricular:
Treatment
(Handbook of Diseases)
Depending on the size of the aneurysm and the complications, treatment may require only routine medical examination to follow the patient’s condition or aggressive measures for intractable ventricular arrhythmias, heart failure, and emboli.
Emergency treatment of ventricular arrhythmias involves an I.V. antiarrhythmic or cardioversion. Preventive treatment continues with an oral antiarrhythmic, such as procainamide, quinidine, or amiodarone.
Emergency treatment for heart failure with pulmonary edema includes oxygen, an I.V. cardiac glycoside, I.V. furosemide, I.V. morphine sulfate and, when necessary, I.V. nitroprusside and intubation. Maintenance therapy may include an oral nitrate and an angiotensin-converting enzyme inhibitor, such as captopril or enalapril.
Systemic embolization requires anticoagulation therapy or embolectomy.
Refractory ventricular tachycardia, heart failure, recurrent arterial embolization, and persistent angina with coronary artery occlusion may require surgery; the most effective procedure is aneurysmectomy with myocardial revascularization.
» READ BOOK EXCERPT ONLINE »
Source: Handbook of Diseases, 2003
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