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Thursday, 28 November 2013

Cerebral aneurysm - The Symptoms

Cerebral aneurysm is defined as a cerebrovascular disorder causes of the blood vessel to bulge or balloon out of the wall of a blood vessel as a result of the weaken of blood vessels and veins and occurred mostly at the bifurcations and branches of the large arteries located at the Circle of Willis.
Symptoms
People may have an aneurysm without experiencing any symptoms at all, but if a cerebral aneurysm begins to leak it can cause certain symptoms. Dr. Lyrer P, and  Gratzl O. at the Neurologische Universitätsklinik, indicated that approximately two fifth of the patients with subarachnoidal hemorrhage complained of early symptoms prior to the major hemorrhage. The complaints may be
1. Headache as the most likely 

2. Cranial nerve palsies including the muscles of the face, and people's faces change as a result of the palsy. A patient may find it difficult to smile, to control eye movements, and to engage in other facial expressions.
3. Different vegetative symptoms, including the interference of the following, including thought, emotion, memory, comprehension, perception, purpose, etc.
4. Iransient neurologic deficits, etc.(3)
In the report of Dr. Henry J. Kaminski, M.D and the team at Cleveland Veterans Affairs Medical Center showed that transient neurologic deficits are an unusual presentation of chronic subdural hematoma. Presented herein are three patients with transient aphasia and right-sided sensory-motor abnormalities caused by subdural hematoma. Review of the literature revealed 32 cases similar to ours. Presenting complaints were aphasia (77%), sensory symptoms (57%), headache (48%), hemiparesis (50%), and visual disturbance (3%). Fifteen patients underwent cerebral angiography(4)

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Sources
(3) http://www.ncbi.nlm.nih.gov/pubmed/8419992
(4) http://www.sciencedirect.com/science/article/pii/000293439290790I