what symptoms am i looking for for this to be showing symptons not of rupture i know those but change

[us2002]

Three days ago went into the hospital for TIAs and luckily they found a 9*5*5 arising from the left callosomarginal artery (first of all i don't know what this is) they said its where the y meets but in pics theres alot of y's.and it has a narrow neck (is that good) im going in for the 4 vessel angiogram next week. i no there are desions im going to have to make that day
My toughest one is if I have a choice between clipping and coiling i think i want clipping...is the wierd. Can anyone give me input on their surgeries as far as coiling verses clipping

[Abhijeet Ghosh]

Dear us2002,
Many thanks for posting the question through this forum.
The universal Full form of TIA = Transient Ischaemic Attack.
But in your question, i am able to understand that TIA = Traumatic Intracranial Aneurysm.
I hope i am right in this case.
The main cause is direct or indirect injury to the sensitive region.
The "Y" which you have mentioned is called as "Circle of Willis".The radiologists and the neurosurgeons will be able to find that "Y" better. It's the shape of the meeting of the multiple arteries, that's referred as "Y".
Only 4% of the cases has involvement of the "Callosomarginal Artery" bifurcation.
To go into more medical details, this artery forms a part of the anterior circulation complex of the "Y" which was mentioned.
Regarding the treatment option - Clipping is preferred treatment as it helps in the better isolation as well as evacuation of the aneurysm and even allows better reconstruction.However the anesthesia is prolonged and require higher surgical skills of the surgeon as lot of manipulations are required for the same.
I would suggest you to wait for the "Angiogram" and then have a further discussion with your operating surgeon.
Feel free for more clarifications.
Regards

[Abhijeet Ghosh]

My dear Friend,
I appreciate your feedback. Wishing you all the best for the surgery and a sweet and quick recovery.
Regards..

[us2002]

Hello DR i wanted to update you because you were helpful to me during a time i really needed it. The angiogram showed the anniw was larger than initially diagnosed, it is 1cm in the same location though. We are going to clip and surgery is scheduled for 28feb2010. Again I wanted thank you and if you had any questions for me I wanted to answer them if possible.

[us2002]

Thank you so much I will ask those question, and I know we are going to treat it somehow,Ijust dont know how. I know its 9mm so the prognosis,side-effecs/problems you  i may experience. I will Thank again you are being a real help. If you dont want to know more let me know and i will stop writing.

[Abhijeet Ghosh]

Dear us,
I will be glad to help you more.
By showing you the figure of 4 %, all i meant was it is a little uncommon condition.Regarding the surgical difficulty / inoperability of the case, request you not to worry as the success of the surgery depends on the skills of the treating surgeon.
Regarding the questions you need to ask your treating doctor -
1) The size of the Aneurysm.
2) According to him, which surgery will he prefer,if required (Clipping or Coiling).
3) Prognosis after the surgery.
The last question is more important as it would give you the complete picture of the side-effects/problems you may experience after the surgery as well as your recovery chances.
Regarding the dimming of the lights, can be a symptom of the aneurysm only. So don't worry much of it now as we need to rely on the investigation reports.
Regards

[us2002]

Thank you for your response and i appreciate, it gave a litlle because i understand better. but what does Only 4% of the cases has involvement of the "Callosomarginal Artery" bifurcation mean...does it mean its inoperable or just rare. Just needed you to clariffy that. And I meet with my neurosurgen and neuroradiologist 30dec so i will be asking for your help in determing the right questions to ask. They then plan to do the angiogram 4 days later tentivly. its after the angiogram we talk surgery right. and one more thing. I have been experiencing painbehind and on my eyes and sometimes my vision just dims...like sombody is dimming the lights. is this normal.