Questions posted in the Neurology and Neurosurgery Forum have been answered by doctors from The Cleveland Clinic Foundation.

Subject: Re: Stroke
Forum: The Neurology and Neurosurgery Forum
Topic Area:
Posted by CCF Neurosurgery MD on December 29, 1997 at 09:20:06:
In Reply to: Stroke posted by Asaf Shmil on December 29, 1997 at 08:24:33:


: One of my neighbors had a stroke two days ago and he is in hospital
in deep coma. The doctors say one of his arteries bursted and the blood
leaked. His condition was stable until the doctors stopped his medicine
that were supposed to make him asleep. When they did it the pressure in
his head raised and they also got to a conclusion that he is paralised
in his left side. Currently his situation is again stable and the doctors
are arguing when and where to do the surgery to "fix" the torn artery.
Do you have any suggestions what steps are needed to be taken so he will
recover and what chances does he have to recover?
_


_
Dear Asaf,

What you are describing is likely an aneurysm in your neighbor's head. An
aneurysm is an abnormal bulging of a blood vessel that is weaker than the normal
vessel, and therefore at risk to bleed. An aneurysm that bleeds in the head
is a life threatening condition. The best way to treat these is to physically
place a clip on the neck of the aneurysm to prevent it from bleeding further.
In recent years, we have been able, via catheters placed in the groin, place
small metal coils in certain aneurysms with good results.

Whether or not your friend will improve from the stroke cannot be determined
from the information given. Often patients will improve remarkably over time
in spite of what initially seems a severe deficit.

You should speak to your friend's physician as to the best option for treatment
and recovery. He will be able to answer your questions more specifically.

Good luck.


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