Confused

[Vai0]

hyI was diagnose in December with a large (13 by 10mm) ICA aneurysm in the optimal segment.  It is a very complicated aneurysm.  I had been having trouble with my vision and headaches for about 2 years but no one seemed to know what the problem was until a CT scan, then a MRI, and then a Cerebral angiogram.  I will be having surgery on the 8th of March.  I have done a lot of research on aneurysm and am no longer afraid of it, however I am terrifed of surgery and it's risks.  I am a need to know person.  The more I understand things the better I feel. I seen the Neurosurgeon yesterday.  He is going to attemp to clip the annie but not sure if he can.  If he is not comfortable with the situation then he will put me back together like Humpdy Dumpdy and then reassess the situation.  My question is why would he not try other procedures at the time he has my head open anyway?  It makes no sense to close me back up just to have to reopen my head later.  Does anyone out there know anything about this surgery?  Thanks Vai

[Vai0]

Hi Dr. Ghosh, I appreciate what you have said.  My concern is having to go into surgery again if they can't clip the first time.  If for some reason my Neurosurgeon is not comfortable with a bypass procedure, shouldn't he find someone who is?  I'm not sure of the protocol in this situation.  I certainly would rather he not go ahead if he is not comfortable with the procedure.  Can my brain handle two surgeries close together? Or does this increase my risk the second time around?.  Thanks for responding to my post.

Vai

[Abhijeet Ghosh]

Dear Friend,
Well as you have got a very good idea about the surgeries related to aneurysms, you must have become aware about the comfort zone of the surgeons.
Why a surgeon goes for a particular procedure - is purely related to  -
1) The need of the hour.
2) The comfort zone of the treating doctor.

So we really can't question as why he has explained you about like this way.
The maximum we can do , is to go for a second opinion.But really can't question the call taken by him, in the present situation.

If there is anything specific you want to know about the technical aspect, please ask me.
Regards...