HospiUpdate

Apollo, Mysore Removes Giant Aneurysm on a 24-year-old Patient

Any aneurysm of size more than 25 mm is considered to be a giant aneurysm

Dr Anil Sangli

Apollo BGS Hospitals, Mysore, recently removed an aneurysm measuring 30-35 from a 24-year old man. This neurosurgical procedure was performed by neurosurgeons Dr Anil Sangli and Dr Ramesh Ranganathan.

The patient who fell-off, while ploughing the field, was provided first-aid in his local home town and then referred to Apollo-BGS Hospitals, Mysore. On admission, he was in a state of semi-coma and was unable to move his left upper and lower limbs.

According to neurosurgeon Dr Anil Sangli, "An immediate CT scan of his brain showed a large space occyping lesion on the right side of the brain. It revealed an associated blood clot also. It was diagnosed as a giant aneurysm of the brain."

Aneurysm is an abnormal dilatation of the blood vessel in the brain. It is usually between 5 - 15 mm in size. They have a propensity to rupture and bleed and cause neurological problems. They are usually congenital in nature and gradually increase in size. Aneurysm is usually between 5 - 15 mm in size. Any size more than 25 mm is considered to be a giant aneurysm. After the aneurysm bleeds, the blood clot can irritate the other blood vessels and cause various problems other than the problem created due to bleeding. This is a very difficult situation to treat.

Said neurosurgeon Dr Ramesh Ranganatha, "This patient had a large aneurysm measuring 30-35 mm in size. He required an angiogram for proper evaluation and surgery. Within three hours after admission, he had a re-bleed and deteriorated. He required a ventilator to breathe and CT scan showed an increase in the size of bleed. He was immediately taken up for an emergency surgery. The blood clot was removed and the aneurysm was 'clipped' with four clips."

“He gradually recovered and is presently able to walk with support. His mental faculties, memory, concentration, ability to read, write and comprehend are all intact. He has minimal weakness on the left side and is recovering with physiotherapy,” added Dr Sangli.

According to Peter Kennedy, GM, Apollo-BGS Hospital, Mysore, "We are well equipped with all state-of-the-art infrastructure to handle any kind of neurosurgical problem, be it an emergency or otherwise. The ICU infrastructure, OT, ICU staff and the doctors have expertise in handling any such situation."

EH News Bureau