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Terrible Headache and Cerebral Aneurysm

A terrible headache can be a symptom of a cerebral aneurysm, which is a serious medical condition. If you or someone you know is experiencing a severe headache, especially one that's sudden, severe, or worsening, seek immediate medical attention. 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.

A cerebral aneurysm is a weak or thin spot in the blood vessels of the brain that can balloon and potentially rupture, leading to bleeding in the brain. Symptoms may include: - Sudden, severe headache (often described as "the worst headache of my life") - Blurred vision - Confusion - Nausea and vomiting - Sensitivity to light - Stiff neck - Seizures If you experience any of these symptoms, call emergency services or go to the emergency room immediately.

CT angiography is the first-line imaging examination for assessing cerebral aneurysms, with a reported sensitivity and specificity of 98 and 100%, respectively . CT angiography is a fast and cost-effective diagnostic technique with a wide availability and high spatial resolution. https://www.youtube.com/watch?v=R42vR6nsH1c

CTA was accurate for the detection of intracranial aneurysms in a routine clinical setting at a high-volume level 1 trauma center. The majority of aneurysms that were missed on CTA were ≤ 3 mm (80%) and were found in patients with multiple aneurysms (67%).

Treatment for a cerebral aneurysm usually involves surgery or endovascular coiling to prevent rupture or stop bleeding. Prompt medical attention is crucial to prevent serious complications or even death. Remember, a severe headache can be a sign of a medical emergency. Do not hesitate to seek help!!! CALL 911. GO by Ambulance to the nearest STROKE CENTER or ER.

Author
Paddy Kalish OD, JD and B.Arch

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