Internal carotid artery aneurysm

Posted by Laurie @roch, Aug 2, 2018

I am posting to hear from others with internal carotid artery aneurysm and what treatment, if any the doctors recommended.

I was having a CT scan for another reason and an aneurysm was discovered. Immediately had consults with neurology and neurosurgery and it was decided that it did not need immediate attention except taking a baby aspirin daily. It showed calcification that meant it had been there for a while. I have not had a stroke or other symptoms. I am 62 with no heart problems.

But when you here aneurysm, you fear the worst.

An angiogram was done few weeks later and results were:
Right common carotid artery cervical angiogram demonstrates an aneurysm of the right internal carotid artery upper cervical segment which measures 33 x 25 x 29 mm.

The surgeon said these types of aneurysm rarely burst and should follow up with another test after 6 months to see if there are any changes.

If you have had similar diagnosis, what advice are your drs giving you?

My doctors are at Mayo Rochester, so confident that diagnosis is correct.

Laurie

I also was diagnosed with a brain aneurysm – "originating from the left internal carotid artery just distal to the left ophthalmic origin. The aneurysm projects superiorly and slightly medially. The overall length of the aneurysm is approximately 5 mm, and the maximum transverse dimension is also on the order of 5 mm largely because of the curvilinear shape. The neck is on the order of 2.5 mm…also a "vascular infundibulum" and "Dolichoectasia is noted involving the anterior and posterior circulations."
The dr. was running 2hrs behind, which was unusual for Mayo, (he had an emergency surgery). The appt was very brief, we didn't even review the CT pics, but another CT scan scheduled in 3mths. (I have 4-5 other aneurysms and tortuous artery areas, Connective Tissue Disease which causes the middle wall of arteries to relax, loose the collagen, elasticity and hopefully not burst.. Mom died of aortic aneurysm at 66, I'm 62, which I also have that is being monitored, all of this discovered in the last 4 months.) I was NOT told to take an aspirin a day; the only instruction was to not lift over 20lbs and no more running. (Have read not to fly, not sure if it is safe, or yoga or hiking for that matter…) I have always had headaches but now a monthly injection, Emgality, has helped the migraines. Nice to meet this group, sorry it had to be under these circumstances! I understand how the "constant thought of aneurysm" is fearful. I'd like to have the questions prepared also for my next appt. Thank you so much for your comments. Enjoy your weekend!!!

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@GratefulEveryDay

I also was diagnosed with a brain aneurysm – "originating from the left internal carotid artery just distal to the left ophthalmic origin. The aneurysm projects superiorly and slightly medially. The overall length of the aneurysm is approximately 5 mm, and the maximum transverse dimension is also on the order of 5 mm largely because of the curvilinear shape. The neck is on the order of 2.5 mm…also a "vascular infundibulum" and "Dolichoectasia is noted involving the anterior and posterior circulations."
The dr. was running 2hrs behind, which was unusual for Mayo, (he had an emergency surgery). The appt was very brief, we didn't even review the CT pics, but another CT scan scheduled in 3mths. (I have 4-5 other aneurysms and tortuous artery areas, Connective Tissue Disease which causes the middle wall of arteries to relax, loose the collagen, elasticity and hopefully not burst.. Mom died of aortic aneurysm at 66, I'm 62, which I also have that is being monitored, all of this discovered in the last 4 months.) I was NOT told to take an aspirin a day; the only instruction was to not lift over 20lbs and no more running. (Have read not to fly, not sure if it is safe, or yoga or hiking for that matter…) I have always had headaches but now a monthly injection, Emgality, has helped the migraines. Nice to meet this group, sorry it had to be under these circumstances! I understand how the "constant thought of aneurysm" is fearful. I'd like to have the questions prepared also for my next appt. Thank you so much for your comments. Enjoy your weekend!!!

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Hi, @GratefulEveryDay – thanks for sharing some of your story with your diagnosis of a brain aneurysm.

You mentioned wanting to have questions prepared also for your next appt. Though this is a doctor you've already seen, this discussion, "Your Tips on How to Get Off to the Best Start with a New Specialist," https://connect.mayoclinic.org/discussion/your-tips-on-how-to-get-off-to-the-best-start-with-a-new-specialist may have some useful information and ideas for that visit.

You also talked about how you understand the "constant thought of aneurysm" is fearful. How have you dealt with that type of fear, @GratefulEveryDay?

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