Dear Dr.
Thank you very much for your fast response. I finally decided on endovascular coilling and will be having it done early next year. I have asked opinion of brain surgeons and they all reffered me to neuroradiologists since the aneurysm can not be treated surgically. And of all the neuroradiologists I have spoken so far had the same idea not to wait but treat. They give 95% success rate and I hope everything will go fine.
Hi vennus!
I can understand your stress, but the question is very difficult to answer. Your headaches could be due to high blood pressure. So if pressure is under control, and as you have wisely given up smoking, the harmful effect of high BP and nicotine are no longer there. Aneurysms are often incidental findings, and usually require no treatment unless a symptom develops or annual check-ups reveal the need due to size enlarging, walls thinning or pressure symptoms.
However, since you have a family history of aneurysms bursting, a more careful watch needs to be maintained. All brain surgeries, however small can be risky. Hence the neurologist has to weight the pros and cons of surgery versus watching the aneurysm. You could take a second opinion from another neurologist in your area, so that you remain less anxious. Take care!