Aneurysm disappearing on its own?

Hi,

I am new to this site, and this is my first posting, although I have been reading and getting tons of information from all of you on this wonderful site for a while.

I have been diagnosed with an AVM the size of about 3 cm in my right frontal lobe and treated with Gamma-Knife 13 days ago. On the day of surgery, the doctors informed me that they had discovered an aneurysm around the AVM but would proceed with the Gamma Knife surgery anyways since I already had the pins of the frame inserted into my skull, and they would make another appointment for me with an aneurysm specialist on a later date. Well, I did undergo the Gamma Knife procedure and consult with the other doctor later on. He told me that the aneurysm did exist, but was too small (about 3mm) for embolization and the best option would be to keep an eye on it since I already had the Gamma Knife treatment, and sometimes the aneurysm would disappear on its own when the AVM is gone. Have you ever heard of this or has this happened to anyone of you?

Hi Michael.
I understand it could disappear on it’s own. The feeders to that part of the AVM could close off giving the same effect as an embo in the short term or it will go when the AVM has gone. One doctor told me a part of my AVM looks suspect too but the others said it looks fine. See my angio in the photos. Meanwhile I would take it easy.

Hi Brett,

Thanks for your reply! Is it wishfull thinking that it will heal on its own or should I do something about this aneurysm? I am really scared of having a craniotomy and the aneurysm clipped. But also am really scared that it might burst! According to this other doctor and what I have read, a bleed from an aneurysm can be much more fatal than a bleed from an AVM.

Hi Michael, I was in your shoes about two months ago and I understand the feeling you have about surgery. I made my decision (GK) based on 4 opinions and my own research and looking at my own mri’s and angio’s on my home computer. It was pretty much 50/50 feedback from my doctors whether GK, CK or open surgery was best for me so I took the less scary route with with the best recorded results and the best doctor I could felt comfortable with to do it. I’m now hoping for the best and have a follow up CT in March 2011. If the aneurysm really concerns you maybe you should have another experienced surgeon from another hospital take a close look at your films for you and give you his opinion. Keep posted.

I’ll jump in here, probably muddy the waters, but it’s another opinion.

Chari had multiple scans (I’d guess maybe 8-10) in the several years from the time her AVM presented, she had PBR treatment, and when it was determined that PBR had not reduced the AVM.

She had several scans in conjunction with 4 or so embolizations. After embo #2, the Drs said they found an aneurysm. So after embo #4, she had conventional surgery to clip it.

One of my questions was "How come no one before in all these scans did not see the aneurysm. The answer I got was they are hard to see and/or as a result of the embos, the blood pressure in her brain was increased, so the aneurysm might have grown as a result.

Now I do think that if the aneurysm is fed by an area that seals off from treatment, the aneurysm could reduce or go away, which is goodness.

To me, an aneurysm is more risky than an AVM. If the area is accessible and critical areas are not in the area, if it were in my head, I’d opt for surgery to fix it.

Or at least monitor it every year or so, just to see what is happening.

Hope this helps.

Ron, KS

Hello Michael, I had a crainiotomy July 2009 and after a coma and a few months in hospital, we were told that I had an aneurysm. The surgeon decided to wait a few more months to let the brain heal so I had an angiogram in January this year and the aneurysm had disappeared!! What a relief!! I am having another angiogram on the 12th this month, just to make sure that all is ok in the brain, (or as good as it can be!).lol

I wish you all the very best Michael, take care, Lesley.

Thanks Ron!

I don’t know what to do, since I just finished with my Gamma Knife treatment. The chance of the aneurysm bursting seems relatively low (1%), and according to the doctor, mine is still small for me to really worry. I don’t know.



Ron, KS said:
I'll jump in here, probably muddy the waters, but it's another opinion.

Chari had multiple scans (I'd guess maybe 8-10) in the several years from the time her AVM presented, she had PBR treatment, and when it was determined that PBR had not reduced the AVM.

She had several scans in conjunction with 4 or so embolizations. After embo #2, the Drs said they found an aneurysm. So after embo #4, she had conventional surgery to clip it.

One of my questions was "How come no one before in all these scans did not see the aneurysm. The answer I got was they are hard to see and/or as a result of the embos, the blood pressure in her brain was increased, so the aneurysm might have grown as a result.

Now I do think that if the aneurysm is fed by an area that seals off from treatment, the aneurysm could reduce or go away, which is goodness.

To me, an aneurysm is more risky than an AVM. If the area is accessible and critical areas are not in the area, if it were in my head, I'd opt for surgery to fix it.

Or at least monitor it every year or so, just to see what is happening.

Hope this helps.

Ron, KS

Hi Lesley,

How good to hear that your aneurysm has disappeared on its own. How big was your aneurysm, and was it created by an AVM?

I hope the results of your angiogram comes out positive. My prayers are with you!



Lesley Skelton said:
Hello Michael, I had a crainiotomy July 2009 and after a coma and a few months in hospital, we were told that I had an aneurysm. The surgeon decided to wait a few more months to let the brain heal so I had an angiogram in January this year and the aneurysm had disappeared!! What a relief!! I am having another angiogram on the 12th this month, just to make sure that all is ok in the brain, (or as good as it can be!).lol

I wish you all the very best Michael, take care, Lesley.

Hello again Michael, thank you for your kind words and prayers. I don’t know how big the aneurysm was I’m afraid but it was created by the AVM. Keeping everything crossed for next week, and my thoughts and prayers are with you too!!