Brain Aneurysm Treatment in India

A brain aneurysm is a weak area in the artery of the brain that usually enlarges and bulges out like a balloon. It is also known as an intracranial aneurysm or an intracerebral aneurysm. Cerebral aneurysm treatment in India is opted by patients from all over the world because of several reasons. The availability of advanced healthcare infrastructure and highly skilled medical personnel at an extremely affordable cost is the biggest factor.

What is the cost of brain aneurysm surgery in India?

The average cost of cerebral aneurysm treatment in India starts from $7000. This is approximately 1/3rd of what it costs in the western countries as the average price of cerebral aneurysm treatment in the west is estimated to be above $20,000

The low cost of cerebral aneurysm treatment is one of the main reasons why patients from abroad prefer to come to the country. The difference in the cost of cerebral aneurysm surgery in India and abroad is so significant that it makes medical tourists save thousands of dollars.

However, a patient may find a huge variation in cerebral aneurysm treatment cost from one city to another. The overall treatment cost depends upon several factors, including hospital profile, room category, surgeon’s fee, duration of the stay, anesthesia charges, and other medical services provided to the patient.

What is a cerebral aneurysm?

A cerebral aneurysm is a weak area in a blood vessel in the brain that usually enlarges outwards. It is often described as “ballooning” of the cerebral artery or vein. A cerebral aneurysm can create a sac from one wall of the blood vessel, may include all the walls of the blood vessel, or can even dissect all the vessel walls. Rupture of a cerebral aneurysm in the brain results in a hemorrhagic stroke that can cause brain damage and even lead to death.

Cerebral aneurysms vary from one patient to another with respect to size, shape, and location.

Differentiation of the basis of size

  • Small aneurysms are less than 5 mm (1/4 inch)
  • Medium aneurysms are 6–15 mm (1/4 to 3/4 inch)
  • Large aneurysms are 16–25 mm (3/4 to 1 1/4 inch)
  • Giant aneurysms are larger than 25 mm (1 1/4 inch)

Differentiation of the basis of shape

  • Saccular (sac-like) with a well-defined neck
  • Saccular with a wide neck
  • Fusiform (spindle shaped) without a distinct neck

What are the causes of brain aneurysm?

Brain aneurysms result from a weakness in the walls of blood vessels that supply blood to the brain. There are four main blood vessels that go up from the neck and into the brain. An aneurysm usually forms at the fork of blood vessels, the points where they branch off and divide, as those sections tend to be weaker. Therefore, they are most commonly found at the base of the brain.

Brain aneurysms are known to usually develop as a person ages and are more common after the age of 40. It may also result from a blood vessel defect at birth or develop due to the hardening of the arteries (atherosclerosis). 

Risk factors

There are certain risk factors that can increase the chances of brain aneurysms in a person. While some of these can be controlled, others can’t. 

The following risk factors may make a person more likely of having an aneurysm or, if they already have an aneurysm, they may increase the risk of its rupture:

  • Family history or genetics: Some people can inherit the tendency to develop aneurysms and are more likely to have an aneurysm than those who don’t have a family history of aneurysm.
  • Congenital conditions (present since birth) including:

Inherited connective tissue disorders, such as Ehlers-Danlos syndrome can weaken the blood vessels and increase the risk of aneurysm in a person.

Polycystic kidney disease leads to formation of fluid-filled sacs in the kidneys and increases blood pressure

Cerebral arteriovenous malformation (brain AVM) is an abnormal connection between the blood vessels in the brain which results in interruption of the normal blood flow within the brain. 

Other factors: 

  • History of previous aneurysm: People who have previously had a brain aneurysm are more likely to have another one.
  • Gender: Risk of developing a brain aneurysm or rupture of an aneurysm is higher in women than men.
  • High blood pressure: People with high blood pressure are at a greater risk of having an aneurysm rupture.
  • Smoking: Cigarette usage can significantly increase the chances of brain aneurysm rupture.

Race: Certain races such as African Americans are more likely to have an aneurysm than Caucasian or white people.

What are the signs and symptoms of Cerebral Aneurysm?

Brain aneurysms often don’t show any symptoms. However, as the vessels enlarge and get bigger, they can put pressure on the brain and nerves.

You must seek prompt medical attention if any of the below mentioned signs of an unruptured brain aneurysm are seen:

  • Chronic headache
  • A dilated pupil
  • Visual problems, such as blurring or double vision
  • Feeling of numbness and weakness on one side of the face
  • Pain above and behind an eye
  • Eyelid drooping
  • Problem with speech

Ruptured brain aneurysms, also called a subarachnoid haemorrhage (SAH), leads to bleeding into the space around the brain (subarachnoid space). This can cause a variety of sudden symptoms. Rupture of a brain aneurysm is a medical emergency condition and requires immediate life-saving procedures. If you observe any of the following symptoms of subarachnoid haemorrhage, call an ambulance immediately.

According to the Brain Aneurysm Foundation, the most common warning signs of a ruptured aneurysm are:

  • A sudden and severe headache
  • Stiffness in the neck
  • Loss of consciousness
  • Sudden confusion or a change in awareness and mental state
  • Weakness and/or numbness
  • Blurred or double vision
  • Sensitivity to light
  • Seizure
  • Nausea/vomiting
  • Drooping eyelids and dilated pupils
  • Pain above and behind the eye

Diagnosis of brain aneurysm

As unruptured brain aneurysms usually do not cause any symptoms, many people are diagnosed with the problem while being treated for a different condition.

If the doctor suspects brain aneurysm in a person, they are recommended to have the following tests done:

Computed tomography (CT) scan: A CT scan of the head can help detect any bleeding in the brain.

Lumbar puncture: Sometimes a lumbar puncture, also known as spinal tap, is done if the doctor suspects that the patient may have a ruptured cerebral aneurysm (subarachnoid haemorrhage). This test helps detect the presence of blood in the cerebrospinal fluid that runs in the subarachnoid space.

Computed tomography angiogram (CTA) scan: CTA is a more precise test for evaluating blood vessels and is sometimes considered over a Lumbar puncture. The method involves the use of a combination of a CT scan, special computer techniques, and a contrast material or dye that is injected into the blood to produce images of blood vessels in the brain.

Magnetic resonance angiography (MRA): As with CTA, MRA also provides images of the blood vessels. This technique uses a magnetic field and pulses of radio wave energy, most often with a contrast dye to produce clear images.

Cerebral angiogram: It is performed to identify the location of the aneurysm and plan treatment accordingly. In this angiography, a catheter is inserted through a blood vessel in the groin or arm and guided up through the vessel into the brain. Then, a dye is injected into the cerebral artery to visualize the problems in the artery, including aneurysms, on an X-ray. Although cerebral angiography is a more invasive test and carries a higher risk than other tests, it is a good method to locate small brain aneurysms (less than 5 mm).

What are the complications caused by a ruptured brain aneurysm?

An aneurysm rupture can cause a variety of serious complications. After the rupture, the blood vessel bleeds and leaks into the brain. This is called a haemorrhage and it can be of two types – 

Subarachnoid haemorrhage (SAH): blood leaks into the space between the skull and the brain. SAH can be life threatening as it leads to a stroke and impose a 40% risk of death.

Intra-cerebral haemorrhage: bleed leaks into the brain tissue. This happens less often. 

Some complications that can be caused by an aneurysm rupture are:

Rebleeding: Once the aneurysm has ruptured, it may rupture again before it is treated. This can lead to further bleeding into the brain, causing even more damage or even death.

Change in sodium level: Bleeding into the brain can interfere with the balance of sodium in the blood supply. This causes swelling in the brain and can result in permanent brain damage. 

Hydrocephalus: This is caused by a subarachnoid haemorrhage. Hydrocephalus is a condition in which there is a build-up of cerebrospinal fluid (CSF) in the brain, which causes increased pressure on the brain tissue. This happens when the blood from the ruptured aneurysm blocks the normal flow of cerebrospinal fluid. If not treated on time, the increased pressure inside the skull can put a person in a coma or cause death. 

Vasospasm: This condition also often occurs after a subarachnoid haemorrhage. The bleeding causes the arteries in the brain to contract and restrict the blood flow to vital parts of the brain. This may lead to stroke due to lack of adequate blood supply to parts of the brain, causing the brain cells to die.

Seizures: Aneurysm rupture can lead to seizures or convulsions, at the time of bleeding or immediately after it. Although most seizures are evident, sometimes they may only be seen during brain testing. Seizures when left untreated or those not responding to any treatment may cause brain damage in the patient.

Treatment of brain aneurysms

The treatment for symptomatic aneurysm involves repairing the blood vessels. This requires surgery by a neurosurgeon. The two common treatment options for a ruptured brain aneurysm are –

Clipping: This is a surgical procedure to close off the aneurysm. A neurosurgeon operates on the brain by removing a section of the skull to access the aneurysm in the brain. The surgeon locates the blood vessel that supplies blood to the aneurysm. Then a tiny metal clip is put across the neck to cut off the blood flow to it. It stops blood from entering the aneurysm and decreases the pressure on it. This prevents its further growth or rupture.

However, whether this surgery can be performed on a patient depends on several factors, such as the location of the aneurysm, its size, and the patient’s overall health.

Endovascular coiling or embolization: This procedure is less invasive than surgical clipping. The surgeon or an interventional neurologist inserts a catheter, a hollow plastic tube, into an artery in the groin and guides it through the body to the aneurysm.

In coil embolization, soft metal coils of platinum wires or latex are moved through the catheter tube to fill the aneurysm. This prevents blood from entering into the aneurysm and makes it less likely to rupture.

Another endovascular treatment option is Flow diversion devices. This method includes placement of a small stent or flexible mesh tube, similar to that used for heart blockage treatment, into the artery to reduce the flow of blood into the aneurysm. Similar to coil embolization procedure, the surgeon inserts a catheter into an artery, usually in the groin, and guides it through the body to the artery that feeds the aneurysm. This method is used to treat aneurysms of very large size and those that cannot be treated with surgical clipping or platinum coil embolization.

All these procedures pose potential risks, particularly aneurysm rupture, bleeding in the brain or loss of blood flow to the brain.

Other treatment options include:

Certain treatments aim to control the symptoms and reduce complications. These include:

Anti-seizure drugs or anticonvulsants: to help prevent seizures related to a ruptured aneurysm.

Calcium channel-blocking drugs: to reduce the risk of stroke due to vasospasm

Painkillers to treat severe headache

A shunt: A medical device, such as ventriculoperitoneal (VP) shunt is used to funnel out the excess of cerebrospinal fluid from the brain to other parts of the body. This device is surgically placed into the brain after rupture and if the build-up of cerebrospinal fluid, a condition called hydrocephalus, is putting harmful pressure on the brain.

Rehabilitative therapy: People who have suffered an aneurysm rupture often need different types of therapies including physical, speech, and occupational. These help them regain some lost functions and learn to manage with any permanent disability.

Treatment of unruptured aneurysm: 

Surgical clipping and endovascular coiling or flow diverter device can be used to seal the unruptured brain aneurysm. However, small aneurysms that aren’t causing any symptoms or haven’t ruptured may not require any treatment. In such cases, where the risk of rupture is low, generally a policy of active observation is normally followed.

Active observation means that immediate surgery is not done on the patient, instead they have regular check-ups to carefully monitor the aneurysm.

If a person is living with an unruptured brain aneurysm, the doctor will recommend certain lifestyle changes to help lower the risk of rupture in the future. This includes:

  • Quit smoking
  • Stop using cocaine or other recreational drugs
  • Eat a healthy balanced diet
  • Have an active life
  • Avoid lifting heavy things and cut off caffeine as these can raise your blood pressure

Why People Choose India for Cerebral Aneurysm Treatment?

Cerebral aneurysm treatment in India has gained an acceptance worldwide due to the availability of advanced surgical approaches and techniques that help ensure a successful surgery and quick recovery.

  • Low cost of brain aneurysm treatment
  • Quality of treatment
  • Facilities Available
  • Well-connected to the world

Frequently Asked Questions (FAQs) about Brain Aneurysm Treatment in India

Q. Do all aneurysms need treatment?

No, all aneurysms may need to be treated. The treatment plan depends on several factors such as the location, size as well as anatomy of the aneurysm.

Q. Can all aneurysms be treated with coiling method?

Endovascular techniques such as coiling or flow diversion, or aneurysm clipping can be used for treatment for aneurysm. The choice of method depends on individual factors such as the shape of aneurysm, location, and the patient’s age and medical history.

For shape, aneurysms with a narrow neck with most successfully treated with coiling as it will hold the coils in its place. The coils are fitted into the aneurysm and then the opening or the neck of the aneurysm is typically sealed off. When the aneurysm has a wide neck or is large, the packing of the coils may not be done optimally. In such cases, placing a stent might be needed to hold the coils in the aneurysm. Other options are microsurgical clipping and possibly flow diversion.

Q. Will there be any scar after the coiling procedure?

No, there is generally no scar after a coiling procedure.

Q. Will the implanted coils set off a metal detector at security check?

No, the coils will not metal detector alarm during security check at the airports or other locations.

Q. Will I be able have an MRI with the coil?

Yes, all coils made of titanium and platinum, and are MRI compatible.

Q. Will I need to take anti-convulsant medications after endovascular coiling?

Usually, there is no need to take anticonvulsants after endovascular coiling procedure, unless you have experienced a seizure.

Q. How long will I have to stay in the hospital after aneurysm treatment?

The length of hospital stay mostly depends on type of procedure that is performed for aneurysm treatment. Another important factor for this is the aneurysm type- ruptured (subarachnoid haemorrhage or bleeding) or unruptured aneurysms.

With microsurgical clipping procedure, patients might need to stay in the hospital for 4-6 days post surgery. Patients with an unruptured aneurysm typically need to stay in the hospital stay for a shorter time, approximately 2 to 3 days with endovascular coiling. The duration of hospitalization for patients with subarachnoid haemorrhage is variable, depending on the severity of the patient’s condition and the treatment of complications such as cerebral vasospasm, hydrocephalus, and ventilatory issues.

How can Lyfboat assist you getting Brain Aneurysm Surgery in India?

World's Most Trusted Medical Advisory & Discount Platform

Lyfboat is a free advisory platform; we do not charge any fees from patients. In fact, we negotiate the price that Indian hospitals offer. In some cases we are able to reduce the cost by negotiating upto 20% of what Hospitals generally offer. We advise the best treatment from the top hospital/surgeon at best price.

Best Hospitals for Cerebral Aneurysm in India

Indian Cerebral aneurysm hospitals have a specially-dedicated department to look after the needs of the patients with a cerebral aneurysm, among other types of neurological disorders.

While making the decision to travel to India for surgery, a patient does not need to worry about the availability of the hospital or a neurosurgeon. This is because there are several hospitals for neurosurgery in India and each of these hospitals has a team of highly experienced neurosurgeons who specialize in this procedure.

Approaching any of these hospitals for the treatment is not a problem and medical tourists can do so in a hassle-free manner. There is no waiting time for cerebral aneurysm treatment and medical tourists can seek an appointment on the same day on which they plan to see a medical specialist. However, booking an appointment and sharing your medical history in advance gives them time to analyze your case history before you arrive.

The medical facilities provided by the hospitals in India are comparable to the facilities offered by the hospitals in developed countries. The quality of medical treatment in India is at par, if not better, with the Western countries, including the US and the UK.

The exquisite infrastructure along with compassionate patient care offered by the medical and paramedical staff at the hospitals attract hundreds of medical tourists from abroad. A majority of the patients who come to India for neurosurgery treatment belong to Bangladesh, Pakistan, Afghanistan, Nigeria, Zambia, the UAE, and other Arab nations.

Since a cerebral aneurysm is a dangerous condition, the neurosurgery hospitals in India understand the need of delivering immediate medical care to the patients. Therefore, surgical treatment is availed almost immediately to critical patients.

Best Brain Aneurysm Surgeons in India

India is globally renowned for its brigade of highly experienced Neurosurgeons

List of some Indian Cerebral Aneurysm surgeons include the following:

Dr. Sandeep Vaishya

22+ years of Experience

Dr. Sandeep Vaishya

22+ years of Experience

Dr. Anil Kumar Kansal

23+ years of Experience

Dr. Anil Kumar Kansal

23+ years of Experience

Dr. Bipin Walia

30+ years of Experience

Dr. Bipin Walia

30+ years of Experience

Dr. Aditya Gupta

21+ years of Experience

Dr. Aditya Gupta

21+ years of Experience

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