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  1. #1

    Aneurysm and stroke

    My brother had a stroke 3 weeks ago. When he went in they discovered a aneurysm. He was in the hospital for a few days and sent home to recover from the stroke. They said they would wait a couple months to address the aneurysm.
    He was home 1 1/2 days and was taken back to the hospital by ambulance. They have since stated the original stroke was 3 to 4 times as large as originally thought and that he had had 2 or 3 more small strokes since then. They had not put him on blood thinners for the stroke due to the aneurysm. Since that time they put him on blood thinners. He spent 9 days in ICU. They felt they had him stabilized and better and sent him home straight from ICU. He was home less than 24 hours and returned to the hospital by ambulance once more.
    Yesterday he had another episode (stroke?) in the hospital.
    Left vertebral artery, which started the whole thing, remains completely blocked.Left internal carotid is 50% blocked. Neurosurgery consult tomorrow and assume surgery will be a day or two after that.
    Seems like a lot of heck to go through. 3 weeks now. Anything they seem to be missing? Any idea why it is taking so long to get under control?

  2. #2
    Quote Originally Posted by brooksfan5@msn.com View Post
    My brother had a stroke 3 weeks ago. When he went in they discovered a aneurysm. He was in the hospital for a few days and sent home to recover from the stroke. They said they would wait a couple months to address the aneurysm.
    He was home 1 1/2 days and was taken back to the hospital by ambulance. They have since stated the original stroke was 3 to 4 times as large as originally thought and that he had had 2 or 3 more small strokes since then. They had not put him on blood thinners for the stroke due to the aneurysm. Since that time they put him on blood thinners. He spent 9 days in ICU. They felt they had him stabilized and better and sent him home straight from ICU. He was home less than 24 hours and returned to the hospital by ambulance once more.
    Yesterday he had another episode (stroke?) in the hospital.
    Left vertebral artery, which started the whole thing, remains completely blocked.Left internal carotid is 50% blocked. Neurosurgery consult tomorrow and assume surgery will be a day or two after that.
    Seems like a lot of heck to go through. 3 weeks now. Anything they seem to be missing? Any idea why it is taking so long to get under control?
    Brooksfan,

    I am sorry to hear about your brother. The word stroke refers to an ischemic (loss of blood flow) episode that result in damage to the brain. Strokes can occur from several causes. The most common is an embolus (clot) to the brain, usually coming from the heart or the arterial plaques in the carotid or vertebral arteries. The second is hemorrhage, due to either an aneurism or arteriovenous malformation. The third is due to compression or other injury to the brain that interrupts blood flow.

    It is not clear from your description what your brother had. It sounds as if he may have had multiple causes. If he had an initial embolus but also has a aneurism and associated hemorrhage, this explains the difficulties his doctors in deciding therapies. If he had an embolus, the treatment would be anticoagulation. However, if he had a hemorrhage, anti-coagulation may make things worse. At the present, the thing to do is to hope that he stabilizes on his anti-coagulation regimen enough to allow surgery to clip the aneurism.

    Wise.

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