Prof. Shahzad Shams presently works as Head and Professor of Neurosurgery Department at Lahore General Hospital, LGH, Lahore.
Cerebral Brain Aneurysms
Anterior Communicating Artery Aneurysms (Acom Aneurysm)
Middle Cerebral Artery Aneurysms
Brain Hemorrhage/Aneurysms/AVM’s
The commonest type of brain hemorrhage requiring neurosurgical treatment is a subarachnoid hemorrhage which is due to rupture of Brain aneurysms arising from Anterior communicating artery aneurysm, Acom aneurysm, Middle cerebral artery aneurysm, MCA aneurysm, Posterior communicating artery, Pom aneurysm, Anterior cerebral artery aneurysm, ACA aneurysm, Internal Carotid artery aneurysm, ICA aneurysm or AVM.
Hemorrhages (bleeding) within the brain can also be related to high blood pressure (hypertension) blood-thinning (anticoagulant) medicines and some types of stroke.
SAH Subarachnoid Hemorrhage
This type of hemorrhaged usually occurs as the result of rupture of a small blister-like abnormality (called an aneurysm) on one of the brain’s main arteries. Hemorrhage (bleeding) from one of these aneurysms is serious and potentially life-threatening.
It often presents with a very sudden and severe headache, which may be followed by loss of consciousness, nausea, vomiting or epileptic fits/seizures. The diagnosis is usually made with a CT scan or MRI Scan. Once referred to a neurosurgical unit the blood vessels of the brain are imaged by Cerebral Angiography to see if there is an aneurysm or other abnormality present.
If there is, this may need to be treated by a neurosurgical operation to put a Titanium metal clip across the neck of the aneurysm and thereby prevent further bleeding permanently from the ruptured aneurysm.
The commonest vessels involved are Anterior communicating artery aneurysm, Middle cerebral artery aneurysm, Posterior communicating artery aneurysm and Internal Carotid Artery aneurysm. The results of aneurysm surgery are excellent and total stay in hospital 2 days.
Results
The Results of Brain Aneurysm clipping arising from Anterior communicating artery aneurysm, Acom aneurysm, Middle cerebral artery aneurysm, MCA aneurysm, Posterior communicating artery, Pom aneurysm, Anterior cerebral artery aneurysm, ACA aneurysm, Internal Carotid artery aneurysm, ICA aneurysm are Excellent.
