With close follow-up, good blood pressure control and a healthy lifestyle, many patients living with aortic aneurysms can do well and may not need an intervention.
About 25% of people who experience a brain aneurysm rupture die within 24 hours. Around 50% of people die within three months of the rupture due to complications. Of those who survive, about 66% experience permanent brain damage. Some people recover with little or no disability.
Other Activities That Can Worsen These Aneurysms
You might also be told to avoid doing any heavy lifting. Smoking is another activity to avoid when you have an aortic aneurysm. You should also work on managing stress and keeping your blood pressure and cholesterol at healthy levels.
“We'll watch it to make sure it isn't growing, but statistics show that many small aneurysms don't need to be treated. You can live your entire life with one and never have an issue,” Dr. Ludwig says.
Brain aneurysms don't always need to be treated. But it is sometimes a good idea to close them off using a catheter or surgery, to prevent them from rupturing (bursting) at some point. Whether and how a brain aneurysm should be treated depends on the individual case.
A ruptured aneurysm can cause serious health problems such as hemorrhagic stroke, brain damage, coma, and even death. Some cerebral aneurysms, particularly those that are very small, do not bleed or cause other problems. These types of aneurysms are usually detected during imaging tests for other medical conditions.
Can people live a long time with a brain aneurysm? Absolutely. Many aneurysms cause no symptoms at all. Some people live for years without knowing they have a brain aneurysm.
Spontaneous regression in size or complete disappearance of an aneurysm is a known phenomenon, more commonly noted in giant intracranial aneurysms. However, reappearance or regrowth of such aneurysms is rare with few anecdotal reports.
Once an aneurysm develops along the aorta, it will not disappear or reduce in size on its own.
aneurysms larger than 5 mm in patients younger than 60 years of age should be seriously considered for treatment; large, incidental aneurysms larger than 10 mm should be treated in nearly all patients younger than 70 years of age.
With rapid, expert treatment, patients can often recover fully. An unruptured brain aneurysm may cause zero symptoms. People can live with them for years before detection.
“If you have an aneurysm, stop yourself before you reach that level of exhaustion,” he says. “Otherwise, lead your normal life. Don't feel like you can't go out to dinner or out for a walk. Activity is good for your cardiovascular health, even with an aneurysm.”
It will take 3 to 6 weeks to fully recover. If you had bleeding from your aneurysm this may take longer. You may feel tired for up to 12 or more weeks. If you had a stroke or brain injury from the bleeding, you may have permanent problems such as trouble with speech or thinking, muscle weakness, or numbness.
An unruptured aneurysm might not initially have any symptoms, but that usually changes as it grows larger. The warning signs that indicate a person has developed an unruptured brain aneurysm include: Pain behind or above an eye. Double vision.
People usually aren't born with aneurysms. Most develop after age 40. Aneurysms usually develop at branching points of arteries and are caused by constant pressure from blood flow. They often enlarge slowly and become weaker as they grow, just as a balloon becomes weaker as it stretches.
The annual rate of rupture is approximately 8 – 10 per 100,000 people. About 30,000 people in the United States suffer a brain aneurysm rupture each year. A brain aneurysm ruptures every 18 minutes. There are almost 500,000 deaths worldwide each year caused by brain aneurysms, and half the victims are younger than 50.
Your provider may recommend heart-healthy lifestyle changes. Quit smoking. This is the most important part of your treatment to slow the growth of the aneurysm. The risk of rupture drops after smoking stops, especially in women.
“An aneurysm usually grows slowly, around 1–2mm per year. Once it reaches a certain size, the risk of it rupturing (bursting) becomes too high and surgery is needed to repair it.” An aneurysm is usually classed as large once it reaches 5.5cm.
The Lisa Foundation notes that it may take 3–6 weeks to recover fully from a brain aneurysm. However, people may feel fatigued for 12 weeks or more. Recovery can be different for each person. A person may experience minor or major physical, cognitive, and emotional changes.
Small, unruptured aneurysms, particularly in the front of the brain, are sometimes safely left alone, particularly in older patients and those without a family history of aneurysm rupture or other risk factors such as uncontrolled high blood pressure.
You should see a GP as soon as possible if you experience symptoms of an unruptured brain aneurysm. Although most aneurysms will not rupture, it's important to get it checked in case treatment is necessary.
Eventually, if not treated, the aneurysm can pop open or rupture, and spill blood into your abdominal cavity or into the wall of the artery. If an aneurysm ruptures, it is considered a true medical emergency. So, how do you find out if you have an aneurysm?
It's rare, but an aneurysm that is large or growing can push on nerves or tissue and cause migraine-like symptoms, including: Headaches. Pain above or behind the eyes. Numbness, usually in your face.