Brain aneurysm repair - discharge
Aneurysm repair - cerebral - discharge; Cerebral aneurysm repair - discharge; Coiling - discharge; Saccular aneurysm repair - discharge; Berry aneurysm repair - discharge; Fusiform aneurysm repair - discharge; Dissecting aneurysm repair - discharge; Endovascular aneurysm repair - discharge; Aneurysm clipping - discharge
When You're in the Hospital
You had a brain aneurysm. An aneurysm is a weak area in the wall of a blood vessel that bulges or balloons out. Once it reaches a certain size, it has a high chance of bursting. It can leak blood and cause bleeding along the surface of the brain. This is also called a subarachnoid hemorrhage. Sometimes bleeding can occur inside the brain.
You had surgery to prevent the aneurysm from bleeding or to treat the aneurysm after it bled. There are two types of surgery:
What to Expect at Home
If you had bleeding before, during, or after surgery you may have some short- or long-term problems. These may be mild or severe. For many people, these problems get better over time.
If you had either type of surgery you may:
What to expect after craniotomy and placement of a clip:
What to expect after endovascular repair:
You may be able to start daily activities, such as driving a car, within 1 or 2 weeks if you did not have any bleeding. Ask your health care provider which daily activities are safe for you to do.
Make plans to have help at home while you recover.
Follow a healthy lifestyle, such as:
Take your seizure medicine if any was prescribed for you. Your doctor may refer you to a speech, physical, or occupational therapist to help you recover from any brain damage.
If the doctor put a catheter in through your groin (endovascular surgery), it is okay to walk short distances on a flat surface. Limit going up and down stairs to around 2 times a day for 2 to 3 days. DO NOT do yard work, drive, or play sports until your doctor says it is OK to do so.
Your provider will tell you when your dressing should be changed. DO NOT take a bath or swim for 1 week.
If you have a small amount of bleeding from the incision, lie down and put pressure where it bleeds for 30 minutes.
Be sure you understand any instructions about taking medicines such as blood thinners (anticoagulants), aspirin, or nonsteroidal anti-inflammatory drugs (NSAIDs), such as ibuprofen and naproxen.
When to Call the Doctor
Call your doctor if you have:
Also, call your doctor if you have:
Make sure to follow-up with your surgeon's office within 2 weeks of being discharged from the hospital.
Ask your doctor if you need long-term follow-up and tests, including CT scans or MRIs of your head.
If you had a cerebral spinal fluid (CSF) shunt placed after aneurysm surgery, you will need regular follow-ups to make sure it functions well.
Bowles E. Cerebral aneurysm and aneurysmal subarachnoid hemorrhage. Nurs Stand. 2014;28(34):52-59. PMID: 24749614 www.ncbi.nlm.nih.gov/pubmed/24749614.
Connolly ES Jr, Rabinstein AA, Carhuapoma JR, et al. Guidelines for the management of aneurysmal subarachnoid hemorrhage: a guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke. 2012;43(6):1711-1737. PMID: 22556195 www.ncbi.nlm.nih.gov/pubmed/22556195.
Szeder V, Tateshima S, Duckwiler GR. Intracranial aneurysms and subarachnoid hemorrhage. In: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology in Clinical Practice. 7th ed. Philadelphia, PA: Elsevier; 2016: chap 67.
Review Date: 7/4/2016
Reviewed By: Amit M. Shelat, DO, FACP, Attending Neurologist and Assistant Professor of Clinical Neurology, SUNY Stony Brook, School of Medicine, Stony Brook, NY. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team
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