Stroke vs. Aneurysm: Different Symptoms, Treatments

Stroke vs. Aneurysm: Different Symptoms, Treatments

Stroke vs. Aneurysm: Different Symptoms, Treatments

A stroke is a life-threatening medical emergency that can be triggered by two different events: ischemia, referring to an ischemic stroke which happens when a blood vessel in the brain gets blocked, or bleeding (hemorrhagic stroke), which occurs when a blood vessel in the brain bursts.

An aneurysm that ruptures can cause an hemorrhagic stroke and can be fatal if not treated immediately.

Both conditions, ischemia and hemorrhagic stroke, can be the result of diseased blood vessel walls. Some risk factors and symptoms are shared, but there are important differences.

The more widely known stroke symptoms include one side of the face drooping; slurred speech, an inability to lift an arm and weakness or numbness in one side of the body. However, a severe headache of abrupt onset, sometimes described as a “thunderclap headache,” may be a sign of hemorrhagic stroke. These are major red flags that necessitate a call to 911.

When it comes to aneurysms, there is good news: ruptured aneurysms are uncommon, affecting about 30,000 people in the U.S. annually. In comparison, an estimated 6 million people in the United States have an unruptured brain aneurysm, or 1 in 50 people. Ruptured brain aneurysms account for 3 to 5 percent of all new strokes. A ruptured aneurysm releases blood into the spaces around the brain.

The most important aneurysm rupture symptom to remember: A sudden and severe headache, the worst headache of your life, says Guilherme Dabus, M.D., (pictured above) director of the Interventional Neuroradiology Fellowship Program at Baptist Health Neuroscience Center and Miami Cardiac \u0026 Vascular Institute. A ruptured aneurysm can also produce symptoms such as nausea and vomiting, sudden blurred or double vision or trouble walking.

[Transcript]

[Director Interventional Neuroradiology Fellowship Program]
Guilherme Dabus:
There are a couple of procedures that we’ve been doing and they’ve been keeping us really busy, which is basically the treatment of acute stroke, so-called the mechanical thrombectomy. The other types of procedure we do quite often is the treatment of brain aneurysms. So, different type of potential stroke, right?
Guilherme Dabus:
So, the acute ischemic stroke is from a blockage in the blood vessel that goes to the brain, so it limits and impairs the blood flow to the brain. On the other hand, the hemorrhagic type of stroke, which is usually like a bleed in the brain, or within the space that it’s actually adjacent, involving the brain. And these are the other types of procedures that we do. When the aneurysm is presented, it can be either ruptured when they already bled, or unruptured when they’re like you haven’t bled, but potentially presented with a hemorrhagic problem.
Guilherme Dabus:
So, that’s when we actually treat them either before they rupture, or when it becomes an emergency when after they rupture. So, basically when you have the acute stroke, the acute ischemic stroke, that is caused by what we call like a large vessel occlusion, meaning a blood clot is basically blocking the blood flow to one of the main arteries in the brain.
Guilherme Dabus:
That’s when it really like coming to… There’s this procedure that has been performed now for several years, but really only these last couple years, we really have very good scientific data of what gives those patients the best chance of a good outcome. And the way we do it, we bring this patient super quickly to the angel suite. We put catheters through their groin, we go up there, and using some specific device, one that looks like a stent and a stick, and other devices that are big catheters that aspirate a clot.
Guilherme Dabus:
We use either, or sometimes a combination of both. We basically use those devices to remove the clot and unblocking that blood vessel, restoring the normal blood flow to the brain. In regards to aneurysms, there’s new technology coming out almost like every six months. So, coils started in the late nineties and really it’s what put in the past for treatment of brain aneurysm on the map.
Guilherme Dabus:
And then we had the advance of balloons and then stents, and now the flow diverters. And very soon we’re going to have what we call like intrasaccular flow disrupters. So, it’s going to be almost like a cage-like mesh that we’re going to put inside the aneurysms, depending on the type. Of course, it depends on the type of the aneurysm, where it’s located, its size, but those are all techniques and technology that is going to be available for treat most of the patients in the very near future.

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[End Transcript]


Content

0 -> (upbeat music)
4.739 -> [Stroke vs. Aneurysm: Different Symptoms, Treatments]
8.01 -> [Guilherme Dabus, Director Interventional Neuroradiology Fellowship Program] - There are a couple of procedures that we've been doing,
9.91 -> [Guilherme Dabus] and they've been keeping us really busy,
12.38 -> [Guilherme Dabus] which is basically the treatment of acute stroke.
14.791 -> [Guilherme Dabus] So-called the mechanical thrombectomy.
17.16 -> [Guilherme Dabus] The other types of procedures that we do quite often
19.11 -> [Guilherme Dabus] is the treatment of brain aneurysms.
21.21 -> [Guilherme Dabus] So different types of potential stroke, right?
23.53 -> [Guilherme Dabus] So this, the acute ischemic stroke
26.2 -> [Guilherme Dabus] is from a blockage in the blood vessel
27.75 -> [Guilherme Dabus] that goes to the brain.
28.583 -> [Guilherme Dabus] So it limits and impairs the blood flow to the brain.
31.34 -> [Guilherme Dabus] On the other hand, the hemorrhagic type of stroke
33.5 -> [Guilherme Dabus] which is usually like a bleed in the brain or in the,
37.2 -> [Guilherme Dabus] within like the space that it's actually adjacent
39.86 -> [Guilherme Dabus] involving the brain.
41.84 -> [Guilherme Dabus] And does, the other types of procedures that we do
43.67 -> [Guilherme Dabus] when you know, when the aneurysm is presented,
45.42 -> [Guilherme Dabus] it can be either ruptured when they already bled,
48.41 -> [Guilherme Dabus] or unruptured when they're like you already haven't bled
51.12 -> [Guilherme Dabus] but potentially presented with a hemorrhagic problem.
53.84 -> [Guilherme Dabus] So that's when we actually treat them
55.44 -> [Guilherme Dabus] either before they rupture or,
56.96 -> [Guilherme Dabus] you know when it becomes an emergency
58.82 -> [Guilherme Dabus] which is when after they rupture.
60.6 -> [Guilherme Dabus] So basically when you have the acute stroke,
63.06 -> [Guilherme Dabus] the acute ischemic stroke that is caused by what we call
65.64 -> [Guilherme Dabus] like a large vessel occlusion,
66.94 -> [Guilherme Dabus] meaning a blood clot is basically blocking the blood flow
70.1 -> [Guilherme Dabus] to one of the main arteries in the brain.
72.012 -> [Guilherme Dabus] That's when it really like coming to like,
74.988 -> [Guilherme Dabus] there's this procedure that has been performed
77.56 -> [Guilherme Dabus] like now for several years
79.16 -> [Guilherme Dabus] but really like only does last couple years,
81.64 -> [Guilherme Dabus] we really have very good scientific data.
83.96 -> [Guilherme Dabus] What gives those patients the best chance
86.35 -> [Guilherme Dabus] of a good outcome and the way we do it,
88.14 -> [Guilherme Dabus] we bring this patient's super quickly to the angel suite.
90.4 -> [Guilherme Dabus] We put catheters through their groin.
92.17 -> [Guilherme Dabus] We go up there and using some specific device
94.76 -> [Guilherme Dabus] one that looks like a stent in the stick
97.13 -> [Guilherme Dabus] and other devices that are big catheters
99.18 -> [Guilherme Dabus] that aspirate the clot,
100.21 -> [Guilherme Dabus] we use either a coil or sometimes a combination of both.
103.06 -> [Guilherme Dabus] We basically use those devices to remove the clot
105.74 -> [Guilherme Dabus] and unblocking the blood vessel,
107.66 -> [Guilherme Dabus] restoring the normal blood flow to the brain.
109.95 -> [Guilherme Dabus] In regards to aneurysms there's new technology coming out
112.68 -> [Guilherme Dabus] almost like every six months you know.
114.83 -> [Guilherme Dabus] So, you know, coils had started in the late nineties
117.48 -> [Guilherme Dabus] and really what,
118.313 -> [Guilherme Dabus] it's what put like in the fast
119.57 -> [Guilherme Dabus] for treatment of brain aneurysms in the map.
121.49 -> [Guilherme Dabus] And then we had the advent of balloons and then stents
123.98 -> [Guilherme Dabus] and now the flow diverters.
125.78 -> [Guilherme Dabus] And very soon we're going to have what we call
127.56 -> [Guilherme Dabus] like intra saccular flow disrupters.
129.369 -> [Guilherme Dabus] So it's going to be like, almost like a cage like mesh
132.48 -> [Guilherme Dabus] that we're going to put inside the aneurysms
134.03 -> [Guilherme Dabus] depending on the type of course, this,
136.06 -> [Guilherme Dabus] it depends on the type of the aneurysm where it's located
138.48 -> [Guilherme Dabus] it's size but those are all techniques and technologies
141.51 -> [Guilherme Dabus] are going to be available for treating most of the patients
144.32 -> [Guilherme Dabus] in the very near future.
145.564 -> (upbeat music)
146.678 -> [Connect BaptistHealthSF: Facebook, Twitter, YouTube, Instagram, Pinterest, Snapchat]

Source: https://www.youtube.com/watch?v=bKETiUDK4ac