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Brain Aneurysm Repair
Brain aneurysm repair involves surgical or endovascular procedures to treat an aneurysm. An aneurysm is a weak, balloon-like bulge in a blood vessel in the brain. If untreated, it can rupture and lead to a life-threatening hemorrhage. The goal of treatment is to separate the bulge from blood flow, which helps prevent rupture or re-bleeding.
There are two main approaches:
- Surgical clipping (open surgery)
- Endovascular repair/coiling (minimally invasive).
Causes & Risk Factors
A brain aneurysm forms due to weakening of the arterial wall. Common risk factors include:
- High blood pressure (hypertension)
- Smoking and tobacco use
- Family history of aneurysms
- Genetic/connective-tissue disorders
- Head trauma or injury to blood vessels
Symptoms
Many aneurysms remain asymptomatic until they rupture. However, potential symptoms include:
- Headache or persistent pain
- Vision changes or double vision
- Drooping eyelid or facial numbness
- Seizures in rare cases
Eligibility for Surgery
Surgery is usually suggested when:
- The aneurysm has ruptured, which requires emergency intervention
- An unruptured aneurysm is large, growing, or has a high risk of rupturing
- Symptoms are present, such as vision problems, pain, or neurological signs
- The patient's overall health can handle surgery
Repair Procedures
1. Surgical Clipping
- This involves an open craniotomy where a small metal clip is placed at the neck of the aneurysm to block blood flow.
- It works best for certain shapes and locations but requires access to the open skull.
- Recovery after surgery for an unruptured aneurysm usually takes about 4 to 6 weeks.
2. Endovascular Coiling / Stenting
- This is a less invasive method. Coils, stents, or flow diverters are inserted through a catheter to seal off the aneurysm from the inside.
- Patients typically experience shorter hospital stays and faster initial recovery compared to open surgery.
Post-Surgery Recovery
Recovery depends on procedure type and whether the aneurysm ruptured:
Typical Recovery:
- Endovascular procedures: Hospital stay ~1–3 days; return to light activities in ~1–2 weeks.
- Clipping (open surgery): Hospital stay ~4–10 days; full recovery often 4–6 weeks or longer.
- Rehabilitation may include physical therapy, blood pressure management, and follow-up imaging.
- Long-term survival and quality of life can be excellent, especially when treated before rupture.
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Estimated Costs
India
Starting from USD 10,000 including surgery, hospital stay, ICU & basic postsurgical care.
Turkey
Starting from USD 15,000 for brain aneurysm repair packages in reputable clinics.
Dubai
Neurosurgery tariffs including aneurysm repair can range higher, often starting from USD 35,000, depending on the hospital and complexity of the case.
Note: Dubai figures are less standardised publicly; costs are generally higher than India and Turkey due to higher hospital operating costs and specialist fees.
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FAQ
Frequently Asked Questions
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