Clarifying doubts, diagnosis, and treatment of cerebral aneurysms
Cerebral aneurysm, a silent danger that should not be overlooked. According to the Department of Disease Control, cerebrovascular disease is the second leading cause of death in the world, with 80 million patients and approximately 5.5 million deaths. There are also 13.7 million new patients per year, with 1 in 4 patients aged 25 and over, and 60 percent of them die prematurely. Asst. Prof. Dr. Ittichai Sak- aroonchai, a neurosurgeon and neuroradiologist at Phyathai 2 Hospital, will tell us how to prevent and treat cerebral aneurysm. “Prevent before it’s too late.”
Diagnosis
Diagnosis of intracranial aneurysm can made from the history, physical examination, and additional findings from radiological examinations, as follows:
1. Computed Tomography (CT Scan)
CT Scan uses X-rays to create cross-sectional images of the brain. It helps detect bleeding in the brain, which has specific characteristics in the subcortical area. It is easy to do and does not take long. There is no need to inject contrast media. It is use as the first step in detecting this condition.
2. Computed Tomography Angiography (CTA)
CTA is a CT scan that uses a contrast agent injected into cerebral aneurysms a vein to provide a clearer picture of the blood vessels. Abnormal blood vessels can found and further treatment can be planned. This is the next step after the previous CT scan and does not take long to perform.
3. Magnetic Resonance Imaging (MRI) :
MRI uses electromagnetic waves and radio waves to create high-resolution images of the brain. It can detect bleeding in the brain and details of surrounding brain tissue very well without the use of X-rays. However, it takes longer and requires the patient to remain still.
4. Magnetic Resonance Angiography (MRA)
MRA is an MRI that focuses on viewing the details of blood vessels in the brain. It allows doctors to see clear images of aneurysms. Can examine in detail and with high accuracy. It is an imaging technique that สมัคร ufabet uses electromagnetic waves and radio waves to create images of blood vessels in the brain. MRA Brain is a safe method and does not cause dangers from cerebral aneurysms radiation. From the imaging technique of the MRI machine, it may not be necessary to inject contrast media to view blood vessels in the brain. Therefore, it is safer and more convenient. There is no need to worry about kidney function or puncture a vein to inject contrast media.
5. Cerebral Angiography
A catheter is insert into artery and a contrast dye is injecte during the examination to provide detailed images of the blood vessels in the brain. The machine creates a three-dimensional image to view the blood vessels in detail. This examination is consider the gold standard. This method is often used in cases where additional information is need or in preparation for surgery or stenting, and is done. When images from other examinations are not clear.