@jjohngoj
I understand your concern. I still remember the shock when they found ICA and then told me to go home from the ER, and they would follow up. Since it is a calcified aneurysm, they told me it would be very rare for it to rupture.

For about 5 years, the neurosurgery department at Mayo monitored with occasional contrast-enhanced MRIs. Each time, it showed a slight increase. Last MRI in 2023 it was 3.5 x 3 x 3.8 cm. It really scared me when one radiology report called it a giant aneurysm. After research, it is just how radiology classifies anyrusm based on size. Meet with the neurosurgeon again; he was not concerned. As long as it was calcified, he did not feel any intervention was needed.

And then I started having problems with fluid in my ear and loss of hearing on the right side. ENT performed a nasal endoscopy (a tube inserted through the nose to check the nasal passage), which confirmed that the aneurysm was compressing the eustachian tube. The treatment plan is to address the symptoms (fluid in the ear) rather than the cause ( aneurysm). ENT did order some CT scans and radiology again reported a slight increase in size. Ended up having ear tubes to relieve pressure and drain fluid.

I did send a message to Nero-surgeon to ask whether the slight increase in size shown in the CT scan changes anything in the treatment plan. I have not heard back.

As you can tell from my story, the neurosurgeon does not feel any intervention is needed. He once said if it were pushing on the airway, then we would need to do something.

I still have some anxiety about it, but I trust the providers.

What are your provider's recommendations? Have they mentioned whether it is calcified?