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Brain aneurysm, right MCA
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Brain aneurysm, right MCA

Have undergone clipping for traumatically caused symptomatic, non-ruptured right  MCA aneurysm. Good  result.   Improvements in visual and auditory abnormalities, ataxia, muscle tone and weakness, balance, posture, speech,  hemiplaegia, cognitive functions, pain, seizure disorder, post-traumatic migraine and ischaemia, etc..Looking for return to normalcy.  Appropriate therapies? Any suggestions ?
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623823_tn?1357420257
Don't move, keep smiling to life or even smile more.
I would like to know since how long that happened, so give me more information about your accident.
treatmnet with:
1-- Citicholine Syrup 2 ml three times daily for 2 months
2-- Naftidrofuryl Oxalate 200 mg three tabs daily for two months
3-- Folic acid, Ginco Biloba, vitamin B1, 3, 6, 5, 12 in a standard dose
would be an excellent course.
Do not do strong sports. Prevent coughing, kepting a sneezing or having constipation !
Hearing from you all the best my friend
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Thank you for your kind words. The accident was more than 10 years ago. It was a rear end high impact MVA with a twist to the left and additional twists and impacts. Onset of symptoms at this time but a CT scan was not done until quite recently, by which time the symptoms had continued to worsen.
Would you tell me a bit about the function of the items you recommend?
As for over exertion,coughing etc, are you concerned about clip failure with marked changes in blood pressure??
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623823_tn?1357420257
Look  lets start with the most concerning matter since your accident happened quiet long time ago.

You excellently know about your aneurysm but me, I am not too convinced by the theory of a traumatic intracranial aneurysm. it should be a previous somehow predisposition to thattaking in concideration the location of the aneurysm in the brain.

Ok now about what so called clip failure; this could theoretically happen but practically very very rare. whereas a clip could fail to assure its total function after repetetive trauma. TAKE in concideration that aneurysm is a defective artery wall, it may include all the 3 layers of this wall, having sometime a "neck" which could be clipped but BUT the neck could FURTHERLY elongate. I am not telling you that, to terrify you :) at all but this is totally wrong to think that a clip resolved the issue for good.
So add to my advices about prevention of hard activities, one more important thing: control brain MRI every 2 years untill you will be sure that the clipped aneurysm is totally "sleepy". this could be confirmed after around 5 such exams, so 10 - 15 years of stability. THERE ARE NO guidelines about this type of control and this is purely my personal opnion.

And about medications they are mainly; boosting to the neuronal activity, dilatators to the injured arteries, becase after an intracranial hemorrhage a reactional constriction of the neighboring arteries take place; anyways now I know that the accident happened long time ago  so no need for medications at all.
you should happily live your life
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