Shivendra Pratap Singh


High Court Lucknow

Medico Legal

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Published on: 12 Aug, 2023

An aneurysm is an abnormal bulge or “ballooning” in the wall of a blood vessel. Aneurysms can occur in any blood vessel throughout the body. The most common locations include the brain (cerebral aneurysm) and the aorta (aortic aneurysm), which is the largest blood vessel in the body. Let’s take a closer look at this condition:

Types of Aneurysms

  1. Aortic Aneurysm: It can be of two types:
    • Thoracic Aortic Aneurysm: Occurs in the chest.
    • Abdominal Aortic Aneurysm: Occurs in the abdomen.
  2. Cerebral (Brain) Aneurysm: Most commonly located in a region of the brain known as the Circle of Willis.
  3. Peripheral Aneurysm: Can occur in the neck (carotid artery), legs (popliteal artery), and intestine (mesenteric artery).


  1. High blood pressure: Overtime, it can weaken the blood vessel walls.
  2. Atherosclerosis: The buildup of fat and cholesterol can damage and weaken artery walls.
  3. Injury: Trauma, such as car accidents, can cause an aneurysm.
  4. Infections: Some infections can weaken blood vessel walls.
  5. Congenital: Some people are born with a weakness in one of their artery walls.


Many aneurysms don’t produce symptoms unless they rupture or grow large. If they do, the symptoms can vary based on the location:

  1. Aortic Aneurysm: Back pain, deep and constant pain in the abdomen, or a throbbing sensation.
  2. Cerebral Aneurysm: Sudden severe headache, nausea, vomiting, stiff neck, blurred or double vision, sensitivity to light, seizure, drooping eyelid, and loss of consciousness.


The primary risk of an aneurysm is rupture. This can lead to:

  1. Internal bleeding: A rupture can be life-threatening if not treated immediately.
  2. Brain damage: If a cerebral aneurysm bursts, it can lead to stroke or brain damage.


Aneurysms can be discovered during routine medical exams, X-rays, MRIs, CT scans, angiograms, or ultrasounds done for other reasons.


The treatment approach is influenced by the size, location, and growth rate of the aneurysm, as well as the patient’s overall health:

  1. Monitoring: Small aneurysms or those that are not growing may just be regularly monitored.
  2. Medication: Drugs to lower blood pressure or reduce cholesterol can be prescribed to reduce the risk of rupture.
  3. Surgery: There are different surgical options like endovascular coiling or clipping for cerebral aneurysms and endovascular repair or open surgery for aortic aneurysms.


While you can’t always prevent an aneurysm, certain actions can reduce your risk:

  1. Control blood pressure: Regular check-ups and medication (if needed) can help.
  2. Quit smoking: This is a significant risk factor.
  3. Eat a heart-healthy diet: Focus on fruits, vegetables, whole grains, and lean proteins.
  4. Exercise regularly: Aim for at least 150 minutes of moderate-intensity exercise each week.


An aneurysm can be a silent but potentially deadly condition. Regular medical check-ups, especially for those with a family history, are crucial. If you ever experience the symptoms of an aneurysm rupture, seek emergency medical care immediately.


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